Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $1,047.13	Professional		$467.74	$645.65	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $2,344.23 / $2,344.23	Professional		$74.13	$2,344.23	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $154.88 / $2,238.72	Professional		$66.07	$154.88	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $489.78 / $776.25	Facility		$64.57	$489.78	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $1,995.26 / $2,344.23	Professional		$74.13	$1,995.26	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $389.05 / $691.83	Facility		$40.74	$389.05	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $707.95	Professional		$371.54	$436.52	$707.95