Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.63 / $852.63 / $852.63	Facility		$852.63	$852.63	$852.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $744.93 / $852.63	Professional		$718.00	$744.93	$852.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Professional		$762.88	$762.88	$762.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $974.71 / $974.71 / $1,500.00	Professional		$974.71	$974.71	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.91 / $726.98 / $919.55	Facility		$337.91	$726.98	$919.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $1,375.00	Professional		$762.88	$762.88	$1,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.50 / $1,997.50 / $1,997.50	Professional		$1,997.50	$1,997.50	$1,997.50