Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,682.50 / $25,365.00 / $25,365.00	Facility		$12,682.50	$25,365.00	$25,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,341.25 / $6,341.25 / $6,341.25	Professional		$6,341.25	$6,341.25	$6,341.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.75 / $5,495.75 / $5,495.75	Facility		$5,495.75	$5,495.75	$5,495.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $13,105.25 / $13,781.65 / $13,781.65	Professional		$13,105.25	$13,781.65	$13,781.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,495.75 / $8,455.00 / $10,653.30	Facility		$5,495.75	$8,455.00	$10,653.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $8,920.03 / $10,146.00 / $11,752.45	Professional		$8,920.03	$10,146.00	$11,752.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $1,543.50 / $2,205.00	Professional		$1,543.50	$1,543.50	$2,205.00