Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,513.56	Professional		$707.95	$891.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $2,630.27	Professional		$831.76	$831.76	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,754.23	Professional		$1,479.11	$1,862.09	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,348.96 / $1,819.70	Facility		$478.63	$1,348.96	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,862.09	Professional		$831.76	$831.76	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $812.83 / $2,041.74	Facility		$575.44	$812.83	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $1,122.02	Professional		$676.08	$741.31	$1,122.02