Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,230.27	Facility		$977.24	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $977.24	Professional		$812.83	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $912.01	Professional		$741.31	$741.31	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $977.24 / $1,122.02	Facility		$100.00	$977.24	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $741.31 / $741.31	Facility		$338.84	$741.31	$741.31