Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Facility		$553.94	$553.94	$553.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $559.47 / $703.50	Professional		$553.94	$559.47	$703.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Facility		$553.94	$553.94	$553.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Professional		$553.94	$553.94	$553.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.92 / $404.11 / $404.11	Professional		$247.92	$404.11	$404.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $546.80 / $553.94 / $609.33	Facility		$546.80	$553.94	$609.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $656.18	Professional		$553.94	$553.94	$656.18
United Facility/Professional Professional Modifier Low / Median / High Price $247.92 / $553.94 / $553.94	Professional		$247.92	$553.94	$553.94