Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,536.93 / $1,536.93 / $1,536.93	Facility		$1,536.93	$1,536.93	$1,536.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.79 / $1,342.79 / $1,536.93	Professional		$1,342.79	$1,342.79	$1,536.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Facility		$1,429.07	$1,429.07	$1,429.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Professional		$1,429.07	$1,429.07	$1,429.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $839.02 / $839.02 / $839.02	Professional		$839.02	$839.02	$839.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $454.29 / $523.58 / $1,429.07	Facility		$454.29	$523.58	$1,429.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Professional		$1,429.07	$1,429.07	$1,429.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $1,388.63	Professional		$1,388.63	$1,388.63	$1,388.63