Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,617.21 / $10,468.90 / $10,468.90	Facility		$2,617.21	$10,468.90	$10,468.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,617.21 / $2,617.21 / $2,617.21	Professional		$2,617.21	$2,617.21	$2,617.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,268.26 / $2,268.26 / $2,268.26	Facility		$2,268.26	$2,268.26	$2,268.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,408.93 / $5,688.10 / $5,688.10	Professional		$5,408.93	$5,688.10	$5,688.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,268.26 / $2,268.26 / $2,268.26	Facility		$2,268.26	$2,268.26	$2,268.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,681.56 / $3,681.56 / $4,187.56	Professional		$3,681.56	$3,681.56	$4,187.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,465.64 / $1,465.64 / $2,093.78	Professional		$1,465.64	$1,465.64	$2,093.78