Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.68 / $1,558.28 / $1,558.28	Facility		$1,128.68	$1,558.28	$1,558.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.67 / $996.81 / $1,128.68	Professional		$580.67	$996.81	$1,128.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.42 / $2,217.42 / $2,217.42	Facility		$2,217.42	$2,217.42	$2,217.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Professional		$0.66	$0.66	$0.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $571.33	Professional		$50.00	$60.00	$571.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.29 / $1,101.34 / $2,217.42	Facility		$847.29	$1,101.34	$2,217.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.44 / $342.31 / $1,689.00	Professional		$103.44	$342.31	$1,689.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,138.63 / $2,138.63 / $2,138.63	Facility		$2,138.63	$2,138.63	$2,138.63
United Facility/Professional Professional Modifier Low / Median / High Price $382.92 / $426.38 / $855.00	Professional		$382.92	$426.38	$855.00