Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $843.00 / $843.00	Facility		$843.00	$843.00	$843.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.63 / $879.59 / $1,017.12	Professional		$731.63	$879.59	$1,017.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,001.02 / $1,001.02 / $1,001.02	Facility		$1,001.02	$1,001.02	$1,001.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.59 / $1,523.52 / $4,186.17	Professional		$1,271.59	$1,523.52	$4,186.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,225.43 / $1,262.19 / $1,838.14	Professional		$1,225.43	$1,262.19	$1,838.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $830.71 / $1,095.81 / $1,230.17	Facility		$830.71	$1,095.81	$1,230.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,186.17 / $2,250,000.00 / $2,400,000.00	Professional		$4,186.17	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.77 / $1,308.77 / $1,308.77	Professional		$1,308.77	$1,308.77	$1,308.77