Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.12 / $972.12 / $972.12	Facility		$972.12	$972.12	$972.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.12 / $1,327.02 / $6,779.20	Professional		$972.12	$1,327.02	$6,779.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $1,498.90	Facility		$1,498.90	$1,498.90	$1,498.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,498.90 / $1,498.90	Professional		$1,094.20	$1,498.90	$1,498.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,409.76 / $1,762.21 / $2,643.31	Professional		$1,409.76	$1,762.21	$2,643.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $567.55 / $567.55 / $1,498.90	Facility		$567.55	$567.55	$1,498.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,498.90 / $2,460.04	Professional		$1,094.20	$1,498.90	$2,460.04
United Facility/Professional Professional Modifier Low / Median / High Price $812.84 / $879.14 / $1,324.60	Professional		$812.84	$879.14	$1,324.60