Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,148.15	Professional		$954.99	$1,000.00	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $85.11	Professional		$44.67	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,047.13 / $1,737.80	Facility		$190.55	$1,047.13	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,258.93	Professional		$125.89	$125.89	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $794.33 / $794.33	Professional		$125.89	$794.33	$794.33