Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.30 / $1,419.30 / $1,419.30	Facility		$1,419.30	$1,419.30	$1,419.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,240.02 / $1,419.30	Professional		$1,195.20	$1,240.02	$1,419.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $308.74 / $1,500.00	Professional		$70.00	$308.74	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $1,210.14 / $1,335.00	Facility		$291.27	$1,210.14	$1,335.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,668.75	Professional		$1,269.90	$1,269.90	$1,668.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,245.00	Professional		$1,245.00	$1,245.00	$1,245.00