Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,737.80	Professional		$870.96	$1,096.48	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $3,019.95	Professional		$954.99	$954.99	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $3,090.30	Professional		$1,621.81	$2,041.74	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,513.56 / $2,187.76	Facility		$588.84	$1,513.56	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $2,398.83	Professional		$954.99	$954.99	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $2,454.71	Facility		$691.83	$1,380.38	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,380.38	Professional		$831.76	$1,000.00	$1,380.38