Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.53 / $2,231.05 / $4,462.10	Facility		$1,115.53	$2,231.05	$4,462.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,115.53 / $1,784.84 / $9,563.79	Professional		$1,115.53	$1,784.84	$9,563.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $966.79 / $966.79 / $966.79	Facility		$966.79	$966.79	$966.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,708.99 / $1,708.99 / $2,136.23	Professional		$1,708.99	$1,708.99	$2,136.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $818.05 / $818.05 / $818.05	Professional		$818.05	$818.05	$818.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $743.69 / $1,413.00 / $1,784.84	Facility		$743.69	$1,413.00	$1,784.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,219.64 / $1,487.37 / $1,487.37	Professional		$1,219.64	$1,487.37	$1,487.37
United Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $624.70 / $892.42	Professional		$624.70	$624.70	$892.42