Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.32 / $831.32 / $831.32	Facility		$831.32	$831.32	$831.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.38 / $1,276.67 / $1,276.67	Professional		$658.38	$1,276.67	$1,276.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $941.33 / $941.33	Facility		$941.33	$941.33	$941.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $941.33 / $941.33	Professional		$687.17	$941.33	$941.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,356.26 / $1,695.33 / $2,542.99	Professional		$1,356.26	$1,695.33	$2,542.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $485.19 / $485.19 / $1,274.05	Facility		$485.19	$485.19	$1,274.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $941.33 / $1,928.83	Professional		$687.17	$941.33	$1,928.83
United Facility/Professional Professional Modifier Low / Median / High Price $682.41 / $751.55 / $1,132.10	Professional		$682.41	$751.55	$1,132.10