Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $1,812.50 / $3,593.82	Facility		$870.00	$1,812.50	$3,593.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $1,450.00 / $1,450.00	Professional		$870.00	$1,450.00	$1,450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.28 / $1,046.28 / $1,046.28	Professional		$1,046.28	$1,046.28	$1,046.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,856.81 / $1,952.64 / $1,952.64	Professional		$1,856.81	$1,952.64	$1,952.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $1,461.60	Facility		$1,160.00	$1,160.00	$1,461.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,223.80 / $1,403.60 / $1,612.40	Professional		$1,223.80	$1,403.60	$1,612.40
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $487.20 / $696.00	Professional		$487.20	$487.20	$696.00