Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.86 / $2,132.48 / $2,132.48	Professional		$1,591.86	$2,132.48	$2,132.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.09 / $2,225.09 / $2,225.09	Facility		$2,225.09	$2,225.09	$2,225.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.17 / $2,225.09 / $2,225.09	Professional		$246.17	$2,225.09	$2,225.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.65 / $474.45 / $4,052.16	Professional		$199.65	$474.45	$4,052.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,640.40 / $1,802.10 / $2,643.08	Facility		$1,640.40	$1,802.10	$2,643.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.17 / $2,225.09 / $2,225.09	Professional		$246.17	$2,225.09	$2,225.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,106.56 / $1,139.00 / $1,855.70	Professional		$1,106.56	$1,139.00	$1,855.70