Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.13 / $591.13 / $1,183.88	Facility		$591.13	$591.13	$1,183.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.13 / $947.10 / $1,013.30	Professional		$591.13	$947.10	$1,013.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.73 / $322.73 / $322.73	Facility		$322.73	$322.73	$322.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.78 / $1,179.61 / $1,455.08	Professional		$901.78	$1,179.61	$1,455.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,421.29	Professional		$32.34	$32.34	$1,421.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.73 / $322.73 / $805.04	Facility		$322.73	$322.73	$805.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $901.78 / $1,215.09 / $1,455.08	Professional		$901.78	$1,215.09	$1,455.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.29 / $1,047.29 / $2,320.69	Facility		$1,047.29	$1,047.29	$2,320.69
United Facility/Professional Professional Modifier Low / Median / High Price $891.27 / $897.91 / $1,750.92	Professional		$891.27	$897.91	$1,750.92