Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.27 / $947.27 / $947.27	Facility		$947.27	$947.27	$947.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.27 / $1,454.73 / $6,994.72	Professional		$947.27	$1,454.73	$6,994.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $1,207.09	Facility		$1,207.09	$1,207.09	$1,207.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $1,207.09 / $1,207.09	Professional		$881.18	$1,207.09	$1,207.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,545.44 / $1,931.80 / $2,897.70	Professional		$1,545.44	$1,931.80	$2,897.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.17 / $622.17 / $1,451.76	Facility		$622.17	$622.17	$1,451.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $1,207.09 / $2,696.78	Professional		$881.18	$1,207.09	$2,696.78
United Facility/Professional Professional Modifier Low / Median / High Price $875.08 / $963.76 / $1,451.76	Professional		$875.08	$963.76	$1,451.76