Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.40 / $1,466.40 / $1,466.40	Facility		$1,466.40	$1,466.40	$1,466.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,466.40 / $1,964.43 / $1,964.43	Professional		$1,466.40	$1,964.43	$1,964.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Facility		$1,950.00	$1,950.00	$1,950.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.82 / $1,950.00 / $1,950.00	Professional		$244.82	$1,950.00	$1,950.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $362.92 / $680.47 / $3,934.87	Professional		$362.92	$680.47	$3,934.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,085.77 / $1,660.08 / $2,462.44	Facility		$1,085.77	$1,660.08	$2,462.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.82 / $1,950.00 / $1,950.00	Professional		$244.82	$1,950.00	$1,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,213.18 / $1,340.26 / $2,183.61	Professional		$1,213.18	$1,340.26	$2,183.61