Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,882.66 / $3,765.31 / $7,530.63	Facility		$1,882.66	$3,765.31	$7,530.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,882.66 / $3,012.25 / $3,012.25	Professional		$1,882.66	$3,012.25	$3,012.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,631.64 / $1,631.64 / $1,631.64	Facility		$1,631.64	$1,631.64	$1,631.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,890.83 / $4,091.64 / $4,091.64	Professional		$3,890.83	$4,091.64	$4,091.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,631.64 / $1,631.64 / $3,162.86	Facility		$1,631.64	$1,631.64	$3,162.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,648.27 / $2,648.27 / $3,012.25	Professional		$2,648.27	$2,648.27	$3,012.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,054.29 / $1,506.13	Professional		$1,054.29	$1,054.29	$1,506.13