Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.77 / $828.77 / $828.77	Facility		$828.77	$828.77	$828.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.78 / $1,131.33 / $4,208.21	Professional		$801.78	$1,131.33	$4,208.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $967.10 / $967.10	Facility		$967.10	$967.10	$967.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $967.10 / $967.10	Professional		$705.98	$967.10	$967.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,201.88 / $1,502.35 / $2,253.52	Professional		$1,201.88	$1,502.35	$2,253.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $451.45 / $451.45 / $1,129.02	Facility		$451.45	$451.45	$1,129.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $967.10 / $1,709.21	Professional		$705.98	$967.10	$1,709.21
United Facility/Professional Professional Modifier Low / Median / High Price $615.77 / $762.38 / $1,003.46	Professional		$615.77	$762.38	$1,003.46