Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.63 / $874.63 / $874.63	Facility		$874.63	$874.63	$874.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.63 / $1,343.18 / $6,826.77	Professional		$874.63	$1,343.18	$6,826.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $1,395.53	Facility		$1,395.53	$1,395.53	$1,395.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $2,650.93	Professional		$1,018.74	$1,018.74	$2,650.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,426.93 / $1,783.67 / $2,675.50	Professional		$1,426.93	$1,783.67	$2,675.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $574.47 / $574.47 / $1,395.53	Facility		$574.47	$574.47	$1,395.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,395.53 / $2,090.23	Professional		$1,018.74	$1,395.53	$2,090.23
United Facility/Professional Professional Modifier Low / Median / High Price $807.98 / $889.85 / $1,340.43	Professional		$807.98	$889.85	$1,340.43