Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $11,481.54 / $11,481.54	Facility		$5,248.07	$11,481.54	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $4,168.69	Professional		$1,778.28	$2,754.23	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $7,585.78	Professional		$5,370.32	$5,370.32	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,168.69 / $10,232.93	Facility		$1,778.28	$4,168.69	$10,232.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,890.45 / $3,890.45	Professional		$3,715.35	$3,890.45	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,089.30	Professional		$1,479.11	$1,479.11	$2,089.30