Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.70 / $1,269.40 / $2,538.81	Facility		$634.70	$1,269.40	$2,538.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.70 / $1,015.52 / $1,015.52	Professional		$634.70	$1,015.52	$1,015.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.08 / $550.08 / $550.08	Facility		$550.08	$550.08	$550.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,311.72 / $1,379.42 / $1,379.42	Professional		$1,311.72	$1,379.42	$1,379.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $550.08 / $550.08 / $1,066.30	Facility		$550.08	$550.08	$1,066.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $892.81 / $892.81 / $1,015.52	Professional		$892.81	$892.81	$1,015.52
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $355.43 / $507.76	Professional		$355.43	$355.43	$507.76