Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,548.13	Facility		$2,951.21	$2,951.21	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,479.11	Professional		$1,258.93	$1,288.25	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,479.11	Facility		$1,318.26	$1,318.26	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $562.34	Professional		$346.74	$398.11	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $562.34 / $1,548.82	Facility		$177.83	$562.34	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,318.26 / $1,318.26	Professional		$436.52	$1,318.26	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,288.25 / $1,380.38	Professional		$346.74	$1,288.25	$1,380.38