Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,318.26	Professional		$616.60	$851.14	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $2,344.23	Professional		$812.83	$812.83	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,398.83	Professional		$1,288.25	$1,584.89	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,148.15 / $1,698.24	Facility		$457.09	$1,148.15	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,862.09	Professional		$812.83	$812.83	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $1,949.84	Facility		$549.54	$794.33	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $1,071.52	Professional		$645.65	$707.95	$1,071.52