Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.68 / $915.68 / $915.68	Facility		$915.68	$915.68	$915.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $915.68 / $915.68	Professional		$500.00	$915.68	$915.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Facility		$872.08	$872.08	$872.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $924.40 / $924.40 / $1,500.00	Professional		$924.40	$924.40	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.91 / $500.00 / $872.08	Facility		$337.91	$500.00	$872.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08