Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.46 / $1,162.46 / $1,162.46	Facility		$1,162.46	$1,162.46	$1,162.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.62 / $1,015.62 / $1,162.46	Professional		$1,015.62	$1,015.62	$1,162.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Facility		$1,040.08	$1,040.08	$1,040.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $307.96 / $307.96 / $307.96	Professional		$307.96	$307.96	$307.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.51 / $216.47 / $1,040.08	Facility		$137.51	$216.47	$1,040.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $1,019.70	Professional		$1,019.70	$1,019.70	$1,019.70