Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $1,548.82	Facility		$1,412.54	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $562.34	Professional		$323.59	$380.19	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $1,000.00	Professional		$630.96	$724.44	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $588.84 / $1,380.38	Facility		$316.23	$588.84	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $512.86 / $676.08	Professional		$489.78	$512.86	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $281.84	Professional		$194.98	$194.98	$281.84