Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.09 / $997.09 / $997.09	Facility		$997.09	$997.09	$997.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $997.09 / $1,361.10 / $6,827.23	Professional		$997.09	$1,361.10	$6,827.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,530.70 / $1,530.70 / $1,530.70	Facility		$1,530.70	$1,530.70	$1,530.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,117.41 / $2,907.71	Professional		$1,117.41	$1,117.41	$2,907.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.96 / $1,807.46 / $2,711.19	Professional		$1,445.96	$1,807.46	$2,711.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $571.58 / $571.58 / $1,530.70	Facility		$571.58	$571.58	$1,530.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,530.70 / $2,772.97	Professional		$1,117.41	$1,530.70	$2,772.97
United Facility/Professional Professional Modifier Low / Median / High Price $818.60 / $885.38 / $1,364.34	Professional		$818.60	$885.38	$1,364.34