Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.51 / $709.51 / $709.51	Facility		$709.51	$709.51	$709.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.51 / $950.26 / $950.26	Professional		$709.51	$950.26	$950.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $881.10 / $881.10	Facility		$881.10	$881.10	$881.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $881.10 / $881.10	Professional		$109.87	$881.10	$881.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $209.68 / $1,837.56	Professional		$111.83	$209.68	$1,837.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $628.07 / $822.98 / $1,178.06	Facility		$628.07	$822.98	$1,178.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $881.10 / $881.10	Professional		$109.87	$881.10	$881.10
United Facility/Professional Professional Modifier Low / Median / High Price $665.29 / $826.52 / $1,193.08	Professional		$665.29	$826.52	$1,193.08