Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,659.59 / $1,659.59	Facility		$758.58	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $602.56	Professional		$338.84	$407.38	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $660.69	Professional		$524.81	$524.81	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $478.63 / $602.56	Facility		$323.59	$478.63	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $302.00	Professional		$213.80	$213.80	$302.00