Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,290.87	Professional		$912.01	$1,230.27	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $3,715.35	Professional		$1,202.26	$1,202.26	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $3,467.37	Professional		$1,862.09	$2,290.87	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,737.80 / $2,818.38	Facility		$660.69	$1,737.80	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,454.71	Professional		$1,202.26	$1,202.26	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,548.82 / $2,818.38	Facility		$794.33	$1,548.82	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,548.82	Professional		$954.99	$1,174.90	$1,548.82