Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.80 / $991.80 / $991.80	Facility		$991.80	$991.80	$991.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.80 / $1,353.88 / $6,365.30	Professional		$991.80	$1,353.88	$6,365.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.14 / $1,427.14 / $1,427.14	Facility		$1,427.14	$1,427.14	$1,427.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,427.14 / $1,427.14	Professional		$1,041.81	$1,427.14	$1,427.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,438.29 / $1,797.87 / $2,696.80	Professional		$1,438.29	$1,797.87	$2,696.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $532.91 / $532.91 / $1,427.14	Facility		$532.91	$532.91	$1,427.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,427.14 / $2,309.85	Professional		$1,041.81	$1,427.14	$2,309.85
United Facility/Professional Professional Modifier Low / Median / High Price $763.22 / $825.47 / $1,272.03	Professional		$763.22	$825.47	$1,272.03