Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.01 / $1,199.01 / $1,199.01	Facility		$1,199.01	$1,199.01	$1,199.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.06 / $1,636.74 / $4,887.08	Professional		$979.06	$1,636.74	$4,887.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.60 / $1,018.60 / $1,018.60	Facility		$1,018.60	$1,018.60	$1,018.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $743.58 / $2,179.48	Professional		$743.58	$743.58	$2,179.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,738.79 / $2,173.48 / $3,260.23	Professional		$1,738.79	$2,173.48	$3,260.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $525.02 / $525.02 / $1,633.39	Facility		$525.02	$525.02	$1,633.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $1,018.60 / $1,956.14	Professional		$743.58	$1,018.60	$1,956.14
United Facility/Professional Professional Modifier Low / Median / High Price $751.91 / $813.25 / $1,244.49	Professional		$751.91	$813.25	$1,244.49