Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $1,412.54	Facility		$1,288.25	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $346.74 / $512.86	Professional		$302.00	$346.74	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Professional		$660.69	$660.69	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $549.54 / $1,258.93	Facility		$288.40	$549.54	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $616.60	Professional		$446.68	$467.74	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $257.04	Professional		$177.83	$177.83	$257.04