Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.94 / $885.94 / $885.94	Facility		$885.94	$885.94	$885.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.10 / $1,209.38 / $4,498.64	Professional		$857.10	$1,209.38	$4,498.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $891.71	Facility		$891.71	$891.71	$891.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $891.71 / $891.71	Professional		$650.95	$891.71	$891.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,284.77 / $1,605.97 / $2,408.95	Professional		$1,284.77	$1,605.97	$2,408.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $482.60 / $482.60 / $1,206.90	Facility		$482.60	$482.60	$1,206.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $891.71 / $1,827.18	Professional		$650.95	$891.71	$1,827.18
United Facility/Professional Professional Modifier Low / Median / High Price $658.25 / $711.94 / $1,072.44	Professional		$658.25	$711.94	$1,072.44