Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $478.63	Professional		$398.11	$416.87	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $436.52 / $724.44	Facility		$190.55	$436.52	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $630.96	Professional		$125.89	$125.89	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $501.19 / $501.19	Professional		$125.89	$501.19	$501.19