Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.61 / $741.61 / $741.61	Facility		$741.61	$741.61	$741.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.61 / $1,138.90 / $4,236.45	Professional		$741.61	$1,138.90	$4,236.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,038.85	Facility		$1,038.85	$1,038.85	$1,038.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $1,038.85 / $1,038.85	Professional		$758.37	$1,038.85	$1,038.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,209.91 / $1,512.39 / $2,268.58	Professional		$1,209.91	$1,512.39	$2,268.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.84 / $432.84 / $1,136.56	Facility		$432.84	$432.84	$1,136.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $1,038.85 / $1,720.69	Professional		$758.37	$1,038.85	$1,720.69
United Facility/Professional Professional Modifier Low / Median / High Price $608.77 / $670.46 / $1,009.95	Professional		$608.77	$670.46	$1,009.95