Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $1,425.00 / $1,425.00	Facility		$1,425.00	$1,425.00	$1,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,245.00 / $1,425.00	Professional		$1,200.00	$1,245.00	$1,425.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,913.95	Professional		$60.00	$85.00	$1,913.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $1,275.00 / $1,500.00	Facility		$1,035.00	$1,275.00	$1,500.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,275.00 / $1,275.00	Professional		$1,250.00	$1,275.00	$1,275.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,250.00	Professional		$1,250.00	$1,250.00	$1,250.00