Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $7,500.00 / $15,000.00	Facility		$3,750.00	$7,500.00	$15,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $6,000.00 / $6,000.00	Professional		$3,750.00	$6,000.00	$6,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.00 / $3,250.00 / $3,250.00	Facility		$3,250.00	$3,250.00	$3,250.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,750.00 / $8,150.00 / $8,150.00	Professional		$7,750.00	$8,150.00	$8,150.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,250.00 / $3,250.00 / $5,000.00	Facility		$3,250.00	$3,250.00	$5,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,275.00 / $6,000.00 / $6,950.00	Professional		$5,275.00	$6,000.00	$6,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,100.00 / $3,000.00	Professional		$2,100.00	$2,100.00	$3,000.00