Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.35 / $742.35 / $742.35	Facility		$742.35	$742.35	$742.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.35 / $1,013.36 / $5,176.82	Professional		$742.35	$1,013.36	$5,176.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.50 / $870.50 / $870.50	Facility		$870.50	$870.50	$870.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.47 / $870.50 / $870.50	Professional		$635.47	$870.50	$870.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,076.54 / $1,345.68 / $2,018.52	Professional		$1,076.54	$1,345.68	$2,018.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.41 / $433.41 / $1,011.29	Facility		$433.41	$433.41	$1,011.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $635.47 / $870.50 / $1,587.98	Professional		$635.47	$870.50	$1,587.98
United Facility/Professional Professional Modifier Low / Median / High Price $620.72 / $768.50 / $1,034.53	Professional		$620.72	$768.50	$1,034.53