Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.53 / $925.53 / $925.53	Facility		$925.53	$925.53	$925.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.53 / $1,421.36 / $5,445.82	Professional		$925.53	$1,421.36	$5,445.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $1,179.41	Facility		$1,179.41	$1,179.41	$1,179.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $1,179.40 / $1,179.41	Professional		$860.97	$1,179.40	$1,179.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,509.98 / $1,887.48 / $2,831.22	Professional		$1,509.98	$1,887.48	$2,831.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.91 / $607.91 / $1,418.45	Facility		$607.91	$607.91	$1,418.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $1,179.41 / $2,634.91	Professional		$860.97	$1,179.41	$2,634.91
United Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $941.64 / $1,418.45	Professional		$855.00	$941.64	$1,418.45