Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $3,162.28	Facility		$1,412.54	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,148.15	Professional		$630.96	$776.25	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,348.96	Professional		$1,096.48	$1,096.48	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $912.01 / $1,148.15	Facility		$616.60	$912.01	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $575.44	Professional		$398.11	$398.11	$575.44