Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.82 / $546.82 / $546.82	Facility		$546.82	$546.82	$546.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $471.99 / $546.82	Professional		$460.48	$471.99	$546.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $508.43 / $661.08	Facility		$489.26	$508.43	$661.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $508.43	Professional		$508.43	$508.43	$508.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $538.92 / $555.09 / $1,500.00	Professional		$538.92	$555.09	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.48 / $508.43 / $575.60	Facility		$460.48	$508.43	$575.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $575.58	Professional		$508.43	$508.43	$575.58
United Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $575.60 / $610.14	Professional		$575.60	$575.60	$610.14