Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.33 / $1,069.33 / $1,069.33	Facility		$1,069.33	$1,069.33	$1,069.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $871.22	Professional		$686.00	$686.00	$871.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.68 / $686.00 / $802.86	Facility		$664.68	$686.00	$802.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Professional		$686.00	$686.00	$686.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $641.83 / $1,046.18 / $1,046.18	Professional		$641.83	$1,046.18	$1,046.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $686.00 / $869.31	Facility		$686.00	$686.00	$869.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $802.86	Professional		$686.00	$686.00	$802.86
United Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Facility		$686.00	$686.00	$686.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $727.16	Professional		$686.00	$686.00	$727.16