Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.27 / $1,625.05 / $1,625.05	Professional		$1,166.27	$1,625.05	$1,625.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.41 / $1,450.41 / $1,450.41	Facility		$1,450.41	$1,450.41	$1,450.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $184.74 / $1,450.41	Professional		$184.74	$184.74	$1,450.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $392.08 / $2,602.03	Professional		$152.44	$392.08	$2,602.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.20 / $1,232.28 / $1,936.44	Facility		$630.20	$1,232.28	$1,936.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $706.00 / $1,450.41	Professional		$184.74	$706.00	$1,450.41
United Facility/Professional Professional Modifier Low / Median / High Price $866.94 / $1,100.01 / $1,400.45	Professional		$866.94	$1,100.01	$1,400.45