Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.95 / $2,495.65 / $2,495.65	Professional		$1,862.95	$2,495.65	$2,495.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,254.90 / $2,254.90 / $2,254.90	Facility		$2,254.90	$2,254.90	$2,254.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $2,254.90 / $2,254.90	Professional		$267.70	$2,254.90	$2,254.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.70 / $601.30 / $5,656.56	Professional		$233.70	$601.30	$5,656.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,254.90 / $2,289.84 / $3,093.20	Facility		$2,254.90	$2,289.84	$3,093.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $2,254.90 / $2,254.90	Professional		$267.70	$2,254.90	$2,254.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,285.80 / $1,589.96 / $2,590.40	Professional		$1,285.80	$1,589.96	$2,590.40