Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,238.77 / $1,659.48 / $1,659.48	Professional		$1,238.77	$1,659.48	$1,659.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $1,639.62 / $1,639.62	Facility		$1,639.62	$1,639.62	$1,639.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.66 / $1,639.62 / $1,639.62	Professional		$188.66	$1,639.62	$1,639.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.66 / $400.39 / $2,657.59	Professional		$155.66	$400.39	$2,657.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $730.80 / $1,308.89 / $2,056.82	Facility		$730.80	$1,308.89	$2,056.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.66 / $1,639.62 / $1,639.62	Professional		$188.66	$1,639.62	$1,639.62
United Facility/Professional Professional Modifier Low / Median / High Price $959.40 / $1,123.40 / $1,705.19	Professional		$959.40	$1,123.40	$1,705.19