Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.97 / $947.97 / $947.97	Facility		$947.97	$947.97	$947.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.08 / $1,294.05 / $5,706.66	Professional		$927.08	$1,294.05	$5,706.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,260.83	Facility		$1,260.83	$1,260.83	$1,260.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $1,260.83 / $1,260.83	Professional		$920.41	$1,260.83	$1,260.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,374.74 / $1,718.43 / $2,577.64	Professional		$1,374.74	$1,718.43	$2,577.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $497.15 / $497.15 / $1,291.40	Facility		$497.15	$497.15	$1,291.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $1,260.83 / $1,978.03	Professional		$920.41	$1,260.83	$1,978.03
United Facility/Professional Professional Modifier Low / Median / High Price $712.00 / $785.09 / $1,178.43	Professional		$712.00	$785.09	$1,178.43