Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.82 / $1,012.82 / $1,012.82	Facility		$1,012.82	$1,012.82	$1,012.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.62 / $1,382.58 / $4,672.18	Professional		$877.62	$1,382.58	$4,672.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.06 / $913.06 / $913.06	Facility		$913.06	$913.06	$913.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $913.06 / $913.06	Professional		$666.53	$913.06	$913.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,468.79 / $1,835.99 / $2,753.98	Professional		$1,468.79	$1,835.99	$2,753.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $470.62 / $470.62 / $1,379.75	Facility		$470.62	$470.62	$1,379.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $913.06 / $1,712.38	Professional		$666.53	$913.06	$1,712.38
United Facility/Professional Professional Modifier Low / Median / High Price $674.01 / $728.99 / $1,115.54	Professional		$674.01	$728.99	$1,115.54