Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $2,632.50 / $5,850.00	Facility		$1,316.25	$2,632.50	$5,850.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,316.25 / $2,106.00 / $2,106.00	Professional		$1,316.25	$2,106.00	$2,106.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.75 / $1,140.75 / $1,140.75	Facility		$1,140.75	$1,140.75	$1,140.75
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 $1,140.75 / $1,755.00 / $2,211.30	Facility		$1,140.75	$1,755.00	$2,211.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,851.53 / $2,123.55 / $2,710.50	Professional		$1,851.53	$2,123.55	$2,710.50
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $737.10 / $1,053.00	Professional		$737.10	$737.10	$1,053.00