Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.55 / $715.55 / $715.55	Facility		$715.55	$715.55	$715.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.55 / $1,098.88 / $4,905.12	Professional		$715.55	$1,098.88	$4,905.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,057.34	Facility		$1,057.34	$1,057.34	$1,057.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $1,057.34 / $1,057.34	Professional		$771.87	$1,057.34	$1,057.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,021.47 / $1,459.25 / $2,042.95	Professional		$1,021.47	$1,459.25	$2,042.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.67 / $410.67 / $1,096.65	Facility		$410.67	$410.67	$1,096.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $1,057.34 / $1,561.48	Professional		$771.87	$1,057.34	$1,561.48
United Facility/Professional Professional Modifier Low / Median / High Price $577.59 / $636.11 / $958.22	Professional		$577.59	$636.11	$958.22