Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.03 / $947.03 / $947.03	Facility		$947.03	$947.03	$947.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.03 / $1,454.36 / $5,572.30	Professional		$947.03	$1,454.36	$5,572.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $1,206.80	Facility		$1,206.80	$1,206.80	$1,206.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,206.80 / $1,206.80	Professional		$880.96	$1,206.80	$1,206.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,545.04 / $1,931.31 / $2,896.96	Professional		$1,545.04	$1,931.31	$2,896.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.02 / $622.02 / $1,451.39	Facility		$622.02	$622.02	$1,451.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,206.80 / $2,263.26	Professional		$880.96	$1,206.80	$2,263.26
United Facility/Professional Professional Modifier Low / Median / High Price $874.85 / $963.51 / $1,451.39	Professional		$874.85	$963.51	$1,451.39