Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,659.59	Professional		$660.69	$933.25	$1,659.59
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $2,630.27	Professional		$912.01	$912.01	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,570.40	Professional		$1,380.38	$1,737.80	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,230.27 / $1,905.46	Facility		$501.19	$1,230.27	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $2,041.74	Professional		$912.01	$912.01	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,148.15 / $2,089.30	Facility		$588.84	$1,148.15	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,148.15	Professional		$707.95	$891.25	$1,148.15