Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.37 / $783.37 / $783.37	Facility		$783.37	$783.37	$783.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.37 / $1,203.04 / $4,475.02	Professional		$783.37	$1,203.04	$4,475.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,115.23	Facility		$1,115.23	$1,115.23	$1,115.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $1,115.23 / $1,115.23	Professional		$814.12	$1,115.23	$1,115.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,278.04 / $1,597.56 / $2,396.34	Professional		$1,278.04	$1,597.56	$2,396.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.21 / $457.21 / $1,200.57	Facility		$457.21	$457.21	$1,200.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $1,115.23 / $1,817.58	Professional		$814.12	$1,115.23	$1,817.58
United Facility/Professional Professional Modifier Low / Median / High Price $643.05 / $708.22 / $1,066.83	Professional		$643.05	$708.22	$1,066.83