Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $585.04 / $585.04	Facility		$585.04	$585.04	$585.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.04 / $585.04 / $1,771.57	Professional		$585.04	$585.04	$1,771.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $603.87 / $603.87 / $603.87	Facility		$603.87	$603.87	$603.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.73 / $1,000.73 / $1,000.73	Professional		$1,000.73	$1,000.73	$1,000.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $364.58	Professional		$60.00	$60.00	$364.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $585.04 / $1,771.57	Facility		$585.04	$585.04	$1,771.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.73 / $2,250,000.00 / $2,400,000.00	Professional		$1,000.73	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.97 / $477.97 / $477.97	Professional		$477.97	$477.97	$477.97