Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,995.26 / $1,995.26	Facility		$891.25	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $724.44	Professional		$416.87	$478.63	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,288.25	Professional		$933.25	$933.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $776.25 / $1,778.28	Facility		$398.11	$776.25	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $851.14	Professional		$630.96	$660.69	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $354.81	Professional		$251.19	$251.19	$354.81