Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.87 / $711.87 / $711.87	Facility		$711.87	$711.87	$711.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.87 / $1,093.23 / $5,125.35	Professional		$711.87	$1,093.23	$5,125.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $832.50 / $832.50	Facility		$832.50	$832.50	$832.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $832.50 / $832.50	Professional		$607.73	$832.50	$832.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,161.40 / $1,451.75 / $2,177.62	Professional		$1,161.40	$1,451.75	$2,177.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $429.10 / $429.10 / $1,090.99	Facility		$429.10	$429.10	$1,090.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $832.50 / $1,561.30	Professional		$607.73	$832.50	$1,561.30
United Facility/Professional Professional Modifier Low / Median / High Price $614.54 / $664.67 / $1,001.24	Professional		$614.54	$664.67	$1,001.24