Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.75 / $2,845.50 / $5,691.00	Facility		$1,422.75	$2,845.50	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,422.75 / $1,422.75 / $3,600.00	Professional		$1,422.75	$1,422.75	$3,600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,233.05 / $1,233.05 / $1,233.05	Facility		$1,233.05	$1,233.05	$1,233.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,940.35 / $3,092.11 / $3,092.11	Professional		$2,940.35	$3,092.11	$3,092.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,233.05 / $1,897.00 / $2,390.21	Facility		$1,233.05	$1,897.00	$2,390.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,001.34 / $2,276.40 / $2,636.83	Professional		$2,001.34	$2,276.40	$2,636.83
United Facility/Professional Professional Modifier Low / Median / High Price $796.74 / $796.74 / $1,138.20	Professional		$796.74	$796.74	$1,138.20