Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.96 / $1,955.93 / $3,911.85	Facility		$977.96	$1,955.93	$3,911.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.96 / $1,564.74 / $1,564.74	Professional		$977.96	$1,564.74	$1,564.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.57 / $847.57 / $847.57	Facility		$847.57	$847.57	$847.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,021.12 / $2,125.44 / $2,125.44	Professional		$2,021.12	$2,125.44	$2,125.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.57 / $1,303.95 / $1,408.65	Facility		$847.57	$1,303.95	$1,408.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,375.67 / $1,577.78 / $1,812.49	Professional		$1,375.67	$1,577.78	$1,812.49
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $469.55 / $670.79	Professional		$469.55	$469.55	$670.79