Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $1,539.00 / $1,539.00	Facility		$1,539.00	$1,539.00	$1,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,344.60 / $1,539.00	Professional		$1,296.00	$1,344.60	$1,539.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $2,140.60	Professional		$60.00	$85.00	$2,140.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,296.00 / $1,377.00 / $1,620.00	Facility		$1,296.00	$1,377.00	$1,620.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,687.50	Professional		$1,377.00	$1,377.00	$1,687.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,350.00	Professional		$1,350.00	$1,350.00	$1,350.00