Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.00 / $2,610.00 / $5,220.00	Facility		$1,305.00	$2,610.00	$5,220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $1,305.00 / $1,305.00	Professional		$1,305.00	$1,305.00	$1,305.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,131.00 / $1,131.00 / $1,131.00	Facility		$1,131.00	$1,131.00	$1,131.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,697.00 / $2,836.20 / $2,836.20	Professional		$2,697.00	$2,836.20	$2,836.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,131.00 / $1,131.00 / $2,192.40	Facility		$1,131.00	$1,131.00	$2,192.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,835.70 / $1,835.70 / $2,088.00	Professional		$1,835.70	$1,835.70	$2,088.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $730.80 / $1,044.00	Professional		$730.80	$730.80	$1,044.00