Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.85 / $876.85 / $876.85	Facility		$876.85	$876.85	$876.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.09 / $797.04 / $8,832.00	Professional		$766.09	$797.04	$8,832.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Facility		$784.55	$784.55	$784.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $784.55 / $836.00	Facility		$784.55	$784.55	$836.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
United Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $769.17	Professional		$769.17	$769.17	$769.17