Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,918.45 / $15,673.80 / $15,673.80	Facility		$3,918.45	$15,673.80	$15,673.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,918.45 / $3,918.45 / $3,918.45	Professional		$3,918.45	$3,918.45	$3,918.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,395.99 / $3,395.99 / $3,395.99	Facility		$3,395.99	$3,395.99	$3,395.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,098.13 / $8,516.10 / $8,516.10	Professional		$8,098.13	$8,516.10	$8,516.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,395.99 / $3,395.99 / $6,583.00	Facility		$3,395.99	$3,395.99	$6,583.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,511.95 / $5,511.95 / $6,269.52	Professional		$5,511.95	$5,511.95	$6,269.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,702.14 / $4,702.14 / $4,702.14	Facility		$4,702.14	$4,702.14	$4,702.14
United Facility/Professional Professional Modifier Low / Median / High Price $2,194.33 / $2,194.33 / $3,134.76	Professional		$2,194.33	$2,194.33	$3,134.76