Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,258.93	Professional		$588.84	$812.83	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $2,238.72	Professional		$758.58	$758.58	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,290.87	Professional		$1,202.26	$1,513.56	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,122.02 / $1,548.82	Facility		$436.52	$1,122.02	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,778.28	Professional		$758.58	$758.58	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $741.31 / $1,819.70	Facility		$512.86	$741.31	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $1,000.00	Professional		$602.56	$676.08	$1,000.00