Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.19 / $908.19 / $908.19	Facility		$908.19	$908.19	$908.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.19 / $1,394.72 / $5,188.07	Professional		$908.19	$1,394.72	$5,188.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.78 / $1,191.78 / $1,191.78	Facility		$1,191.78	$1,191.78	$1,191.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $1,191.78 / $1,191.78	Professional		$870.00	$1,191.78	$1,191.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,481.68 / $1,852.10 / $2,778.15	Professional		$1,481.68	$1,852.10	$2,778.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $530.05 / $530.05 / $1,391.88	Facility		$530.05	$530.05	$1,391.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $1,191.78 / $2,107.19	Professional		$870.00	$1,191.78	$2,107.19
United Facility/Professional Professional Modifier Low / Median / High Price $745.52 / $821.06 / $1,236.82	Professional		$745.52	$821.06	$1,236.82