Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.83 / $789.83 / $789.83	Facility		$789.83	$789.83	$789.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.83 / $1,212.95 / $5,304.62	Professional		$789.83	$1,212.95	$5,304.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.48 / $1,006.48 / $1,006.48	Facility		$1,006.48	$1,006.48	$1,006.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $734.73 / $1,979.55	Professional		$734.73	$734.73	$1,979.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,288.57 / $1,610.72 / $2,416.08	Professional		$1,288.57	$1,610.72	$2,416.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $518.77 / $518.77 / $1,210.47	Facility		$518.77	$518.77	$1,210.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $1,006.48 / $2,196.07	Professional		$734.73	$1,006.48	$2,196.07
United Facility/Professional Professional Modifier Low / Median / High Price $729.64 / $803.57 / $1,210.47	Professional		$729.64	$803.57	$1,210.47