Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.95 / $957.95 / $957.95	Facility		$957.95	$957.95	$957.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.95 / $1,307.68 / $6,604.31	Professional		$957.95	$1,307.68	$6,604.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $1,473.53	Facility		$1,473.53	$1,473.53	$1,473.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,473.53 / $1,473.53	Professional		$1,075.68	$1,473.53	$1,473.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,215.56 / $1,736.52 / $2,431.12	Professional		$1,215.56	$1,736.52	$2,431.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.91 / $552.91 / $1,473.53	Facility		$552.91	$552.91	$1,473.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,473.53 / $2,034.98	Professional		$1,075.68	$1,473.53	$2,034.98
United Facility/Professional Professional Modifier Low / Median / High Price $791.87 / $856.46 / $1,290.15	Professional		$791.87	$856.46	$1,290.15