Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.25 / $1,192.50 / $2,385.00	Facility		$596.25	$1,192.50	$2,385.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.25 / $954.00 / $5,111.85	Professional		$596.25	$954.00	$5,111.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.23 / $913.56 / $1,141.95	Professional		$712.23	$913.56	$1,141.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $437.25 / $1,232.25 / $1,295.84	Professional		$437.25	$1,232.25	$1,295.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $755.25 / $825.00 / $954.00	Facility		$755.25	$825.00	$954.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $651.90 / $914.25 / $1,105.05	Professional		$651.90	$914.25	$1,105.05
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $333.90 / $477.00	Professional		$333.90	$333.90	$477.00