Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.32 / $1,076.14 / $4,969.49	Professional		$803.32	$1,076.14	$4,969.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,116.58	Facility		$1,116.58	$1,116.58	$1,116.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,338.37	Professional		$1,116.58	$1,116.58	$1,338.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.23 / $255.43 / $2,101.29	Professional		$136.23	$255.43	$2,101.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,063.46 / $1,063.46 / $1,333.81	Facility		$1,063.46	$1,063.46	$1,333.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,338.37	Professional		$1,116.58	$1,116.58	$1,338.37
United Facility/Professional Professional Modifier Low / Median / High Price $721.82 / $859.28 / $1,203.04	Professional		$721.82	$859.28	$1,203.04