Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.63 / $1,913.88 / $1,913.88	Professional		$1,620.63	$1,913.88	$1,913.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $2,160.00	Facility		$2,160.00	$2,160.00	$2,160.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.39 / $2,160.00 / $2,160.00	Professional		$259.39	$2,160.00	$2,160.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.54 / $461.77 / $2,862.72	Professional		$179.54	$461.77	$2,862.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $955.98 / $1,712.37 / $2,690.86	Facility		$955.98	$1,712.37	$2,690.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.39 / $2,160.00 / $2,160.00	Professional		$259.39	$2,160.00	$2,160.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.81 / $1,469.64 / $2,011.43	Professional		$1,174.81	$1,469.64	$2,011.43