Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $2,041.74	Professional		$794.33	$1,096.48	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,951.21	Professional		$1,023.29	$1,023.29	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,311.31	Professional		$1,737.80	$2,187.76	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,621.81 / $2,398.83	Facility		$588.84	$1,621.81	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,187.76	Professional		$1,023.29	$1,023.29	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,380.38 / $2,511.89	Facility		$707.95	$1,380.38	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,380.38	Professional		$851.14	$1,047.13	$1,380.38