Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,369.57 / $9,478.26 / $9,478.26	Facility		$2,369.57	$9,478.26	$9,478.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,369.57 / $2,369.57 / $2,369.57	Professional		$2,369.57	$2,369.57	$2,369.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,053.62 / $2,053.62 / $2,053.62	Facility		$2,053.62	$2,053.62	$2,053.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,897.10 / $5,149.85 / $5,149.85	Professional		$4,897.10	$5,149.85	$5,149.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,053.62 / $2,053.62 / $3,980.87	Facility		$2,053.62	$2,053.62	$3,980.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,333.19 / $3,333.19 / $3,791.30	Professional		$3,333.19	$3,333.19	$3,791.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.96 / $1,326.96 / $1,895.65	Professional		$1,326.96	$1,326.96	$1,895.65