Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.14 / $790.14 / $790.14	Facility		$790.14	$790.14	$790.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.14 / $1,078.59 / $5,065.30	Professional		$790.14	$1,078.59	$5,065.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $895.00 / $895.00	Facility		$895.00	$895.00	$895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $895.00 / $895.00	Professional		$653.35	$895.00	$895.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,145.85 / $1,432.32 / $2,148.48	Professional		$1,145.85	$1,432.32	$2,148.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.31 / $461.31 / $1,076.40	Facility		$461.31	$461.31	$1,076.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $895.00 / $1,838.10	Professional		$653.35	$895.00	$1,838.10
United Facility/Professional Professional Modifier Low / Median / High Price $660.68 / $714.57 / $1,076.64	Professional		$660.68	$714.57	$1,076.64