Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,818.38 / $2,818.38	Facility		$1,258.93	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,023.29	Professional		$588.84	$794.33	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,819.70	Professional		$1,318.26	$1,318.26	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,071.52 / $2,511.89	Facility		$562.34	$1,071.52	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $933.25 / $933.25	Professional		$891.25	$933.25	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $512.86	Professional		$354.81	$354.81	$512.86