Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,348.96	Facility		$1,230.27	$1,348.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $467.74	Professional		$181.97	$309.03	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $870.96	Professional		$630.96	$630.96	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $407.38 / $1,202.26	Facility		$263.03	$407.38	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $446.68 / $588.84	Professional		$426.58	$446.68	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $147.91	Professional		$104.71	$104.71	$147.91