Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,290.87	Professional		$1,202.26	$1,445.44	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $190.55	Professional		$144.54	$144.54	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $1,445.44	Professional		$100.00	$134.90	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $812.83 / $1,445.44	Facility		$144.54	$812.83	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $691.83	Professional		$123.03	$144.54	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $630.96 / $1,318.26	Facility		$97.72	$630.96	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $912.01 / $1,548.82	Professional		$831.76	$912.01	$1,548.82