Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.16 / $786.16 / $786.16	Facility		$786.16	$786.16	$786.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.82 / $719.82 / $786.16	Professional		$719.82	$719.82	$786.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Facility		$876.07	$876.07	$876.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Professional		$876.07	$876.07	$876.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $876.07 / $876.07 / $886.96	Facility		$876.07	$876.07	$886.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Professional		$876.07	$876.07	$876.07
United Facility/Professional Professional Modifier Low / Median / High Price $886.96 / $886.96 / $886.96	Professional		$886.96	$886.96	$886.96