Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,621.81	Professional		$691.83	$912.01	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $2,818.38	Professional		$660.69	$660.69	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,570.40	Professional		$1,380.38	$1,698.24	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $1,819.70	Facility		$467.74	$1,258.93	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,905.46	Professional		$660.69	$660.69	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,096.48 / $1,949.84	Facility		$549.54	$1,096.48	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,096.48	Professional		$660.69	$831.76	$1,096.48