Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,290.87	Professional		$912.01	$1,258.93	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $3,715.35	Professional		$1,174.90	$1,174.90	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $4,168.69	Professional		$2,238.72	$2,754.23	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,995.26 / $2,511.89	Facility		$676.08	$1,995.26	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,511.89	Professional		$1,174.90	$1,174.90	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,584.89 / $2,818.38	Facility		$794.33	$1,584.89	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,584.89	Professional		$954.99	$1,202.26	$1,584.89