Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.02 / $593.02 / $593.02	Facility		$593.02	$593.02	$593.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.02 / $696.19 / $845.17	Professional		$593.02	$696.19	$845.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.84 / $1,245.90 / $1,690.14	Professional		$841.84	$1,245.90	$1,690.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,403.92	Professional		$50.00	$70.00	$1,403.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $637.42 / $732.11 / $861.30	Facility		$637.42	$732.11	$861.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $821.43 / $1,082.38 / $1,304.70	Professional		$821.43	$1,082.38	$1,304.70
United Facility/Professional Professional Modifier Low / Median / High Price $981.23 / $1,182.58 / $1,730.09	Professional		$981.23	$1,182.58	$1,730.09