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 $223.87 / $467.74 / $724.44	Professional		$223.87	$467.74	$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 $380.19 / $602.56 / $1,778.28	Facility		$380.19	$602.56	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $660.69 / $870.96	Professional		$316.23	$660.69	$870.96
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 $125.89 / $125.89 / $181.97	Professional		$125.89	$125.89	$181.97