Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,140.00 / $1,140.00 / $1,140.00	Facility		$1,140.00	$1,140.00	$1,140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $996.00 / $1,140.00	Professional		$960.00	$996.00	$1,140.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $1,020.00 / $1,200.00	Facility		$828.00	$1,020.00	$1,200.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,249.99	Professional		$1,020.00	$1,020.00	$1,249.99
United Facility/Professional Professional Modifier Low / Median / High Price $788.99 / $788.99 / $788.99	Professional		$788.99	$788.99	$788.99