Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.41 / $873.41 / $873.41	Facility		$873.41	$873.41	$873.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.33 / $1,192.28 / $5,286.41	Professional		$825.33	$1,192.28	$5,286.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,036.33	Facility		$1,036.33	$1,036.33	$1,036.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $1,036.33 / $1,036.33	Professional		$756.53	$1,036.33	$1,036.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,266.61 / $1,583.27 / $2,374.90	Professional		$1,266.61	$1,583.27	$2,374.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.58 / $442.58 / $1,189.83	Facility		$442.58	$442.58	$1,189.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $1,036.33 / $1,610.35	Professional		$756.53	$1,036.33	$1,610.35
United Facility/Professional Professional Modifier Low / Median / High Price $633.85 / $784.77 / $1,056.42	Professional		$633.85	$784.77	$1,056.42