Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.37 / $744.37 / $744.37	Facility		$744.37	$744.37	$744.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.37 / $1,143.15 / $5,526.01	Professional		$744.37	$1,143.15	$5,526.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $897.58	Facility		$897.58	$897.58	$897.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $655.23 / $1,956.50	Professional		$655.23	$655.23	$1,956.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,214.42 / $1,518.03 / $2,277.04	Professional		$1,214.42	$1,518.03	$2,277.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $462.65 / $462.65 / $1,140.81	Facility		$462.65	$462.65	$1,140.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $897.58 / $1,912.37	Professional		$655.23	$897.58	$1,912.37
United Facility/Professional Professional Modifier Low / Median / High Price $650.70 / $716.63 / $1,079.50	Professional		$650.70	$716.63	$1,079.50