Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.51 / $661.51 / $661.51	Facility		$661.51	$661.51	$661.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.51 / $1,015.89 / $4,453.05	Professional		$661.51	$1,015.89	$4,453.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $842.96	Facility		$842.96	$842.96	$842.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $842.96 / $842.96	Professional		$615.36	$842.96	$842.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,079.24 / $1,349.05 / $2,023.57	Professional		$1,079.24	$1,349.05	$2,023.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.49 / $434.49 / $1,013.81	Facility		$434.49	$434.49	$1,013.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $842.96 / $1,580.92	Professional		$615.36	$842.96	$1,580.92
United Facility/Professional Professional Modifier Low / Median / High Price $611.10 / $673.03 / $1,013.81	Professional		$611.10	$673.03	$1,013.81