Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,930.99 / $7,723.95 / $7,723.95	Facility		$1,930.99	$7,723.95	$7,723.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,930.99 / $1,930.99 / $1,930.99	Professional		$1,930.99	$1,930.99	$1,930.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,673.52 / $1,673.52 / $1,673.52	Facility		$1,673.52	$1,673.52	$1,673.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,990.71 / $4,196.68 / $4,196.68	Professional		$3,990.71	$4,196.68	$4,196.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,673.52 / $1,673.52 / $3,244.06	Facility		$1,673.52	$1,673.52	$3,244.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,716.26 / $2,716.26 / $3,089.58	Professional		$2,716.26	$2,716.26	$3,089.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.34 / $1,081.34 / $1,544.79	Professional		$1,081.34	$1,081.34	$1,544.79