Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,318.26	Professional		$575.44	$794.33	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $2,187.76	Professional		$602.56	$602.56	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,238.72	Professional		$1,202.26	$1,513.56	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,071.52 / $1,584.89	Facility		$426.58	$1,071.52	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,737.80	Professional		$602.56	$602.56	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $741.31 / $1,819.70	Facility		$512.86	$741.31	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $1,000.00	Professional		$602.56	$660.69	$1,000.00