Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $7,413.10	Professional		$794.33	$1,071.52	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,348.96	Professional		$1,122.02	$1,122.02	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $295.12 / $2,630.27	Professional		$134.90	$295.12	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,348.96	Facility		$1,071.52	$1,071.52	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,122.02 / $1,348.96	Professional		$512.86	$1,122.02	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $724.44 / $1,348.96	Facility		$72.44	$724.44	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,318.26	Professional		$676.08	$851.14	$1,318.26