Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.50 / $2,925.00 / $5,850.00	Facility		$1,462.50	$2,925.00	$5,850.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.50 / $2,340.00 / $2,340.00	Professional		$1,462.50	$2,340.00	$2,340.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.50 / $1,267.50 / $1,267.50	Facility		$1,267.50	$1,267.50	$1,267.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,022.50 / $3,178.50 / $3,178.50	Professional		$3,022.50	$3,178.50	$3,178.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $358.75 / $1,267.50 / $1,950.00	Facility		$358.75	$1,267.50	$1,950.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,057.25 / $2,359.50 / $2,710.50	Professional		$2,057.25	$2,359.50	$2,710.50
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $819.00 / $1,170.00	Professional		$819.00	$819.00	$1,170.00