Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.60 / $947.60 / $947.60	Facility		$947.60	$947.60	$947.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.60 / $1,455.25 / $6,618.47	Professional		$947.60	$1,455.25	$6,618.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $1,212.63	Facility		$1,212.63	$1,212.63	$1,212.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $1,212.63 / $1,212.63	Professional		$885.22	$1,212.63	$1,212.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,545.98 / $1,932.48 / $2,898.72	Professional		$1,545.98	$1,932.48	$2,898.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $554.10 / $554.10 / $1,452.27	Facility		$554.10	$554.10	$1,452.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $1,212.63 / $2,168.34	Professional		$885.22	$1,212.63	$2,168.34
United Facility/Professional Professional Modifier Low / Median / High Price $779.33 / $858.30 / $1,292.91	Professional		$779.33	$858.30	$1,292.91