Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.87 / $947.87 / $947.87	Facility		$947.87	$947.87	$947.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.99 / $1,293.92 / $3,864.54	Professional		$773.99	$1,293.92	$3,864.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $908.11	Facility		$908.11	$908.11	$908.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $1,583.64	Professional		$662.92	$662.92	$1,583.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,374.60 / $1,718.25 / $2,577.37	Professional		$1,374.60	$1,718.25	$2,577.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.05 / $415.05 / $1,291.28	Facility		$415.05	$415.05	$1,291.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $908.11 / $1,546.43	Professional		$662.92	$908.11	$1,546.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,460.51 / $1,460.51 / $1,718.25	Facility		$1,460.51	$1,460.51	$1,718.25
United Facility/Professional Professional Modifier Low / Median / High Price $594.42 / $688.24 / $983.83	Professional		$594.42	$688.24	$983.83