Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.02 / $733.02 / $733.02	Facility		$733.02	$733.02	$733.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.02 / $911.81 / $1,006.48	Professional		$733.02	$911.81	$1,006.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $907.03 / $1,271.42 / $1,691.12	Professional		$907.03	$1,271.42	$1,691.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,052.56	Professional		$32.34	$32.34	$1,052.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $667.21 / $855.51 / $2,347.76	Facility		$667.21	$855.51	$2,347.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,020.62 / $1,584.35 / $2,144.75	Professional		$1,020.62	$1,584.35	$2,144.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,013.40 / $1,488.25 / $2,218.33	Professional		$1,013.40	$1,488.25	$2,218.33