Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,445.44	Professional		$851.14	$1,148.15	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $512.86 / $512.86	Professional		$125.89	$512.86	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $275.42 / $2,137.96	Professional		$107.15	$275.42	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $851.14 / $1,412.54	Facility		$112.20	$851.14	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $489.78 / $512.86	Professional		$125.89	$489.78	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $602.56 / $1,230.27	Facility		$70.79	$602.56	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,000.00	Professional		$616.60	$776.25	$1,000.00