Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $537.03	Professional		$489.78	$489.78	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $239.88 / $524.81	Professional		$44.67	$239.88	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $489.78 / $1,071.52	Facility		$190.55	$489.78	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $436.52	Professional		$125.89	$125.89	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $489.78 / $977.24	Professional		$125.89	$489.78	$977.24