Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.74 / $981.74 / $981.74	Facility		$981.74	$981.74	$981.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.74 / $1,507.67 / $6,748.59	Professional		$981.74	$1,507.67	$6,748.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,304.10 / $1,304.10 / $1,304.10	Facility		$1,304.10	$1,304.10	$1,304.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $1,304.10 / $1,304.10	Professional		$952.00	$1,304.10	$1,304.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,601.68 / $2,002.10 / $3,003.15	Professional		$1,601.68	$2,002.10	$3,003.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $644.82 / $644.82 / $1,504.59	Facility		$644.82	$644.82	$1,504.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $1,304.10 / $2,346.19	Professional		$952.00	$1,304.10	$2,346.19
United Facility/Professional Professional Modifier Low / Median / High Price $906.93 / $998.83 / $1,504.59	Professional		$906.93	$998.83	$1,504.59