Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,430.00 / $4,860.00 / $9,720.00	Facility		$2,430.00	$4,860.00	$9,720.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,430.00 / $3,888.00 / $3,888.00	Professional		$2,430.00	$3,888.00	$3,888.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,106.00 / $2,106.00 / $2,106.00	Facility		$2,106.00	$2,106.00	$2,106.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,022.00 / $5,281.20 / $5,281.20	Professional		$5,022.00	$5,281.20	$5,281.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,106.00 / $3,240.00 / $4,082.40	Facility		$2,106.00	$3,240.00	$4,082.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,418.20 / $3,888.00 / $4,503.60	Professional		$3,418.20	$3,888.00	$4,503.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,360.80 / $1,944.00	Professional		$1,360.80	$1,360.80	$1,944.00