Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.40 / $7,838.38 / $8,644.27	Facility		$1,060.40	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.27 / $1,019.20 / $1,406.57	Professional		$897.27	$1,019.20	$1,406.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.75 / $1,110.75 / $3,456.15	Facility		$1,110.75	$1,110.75	$3,456.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $963.40 / $1,342.59 / $1,734.13	Professional		$963.40	$1,342.59	$1,734.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,501.96	Professional		$32.34	$32.34	$1,501.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.75 / $1,088.64 / $1,425.18	Facility		$707.75	$1,088.64	$1,425.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.05 / $1,432.10 / $2,571.71	Professional		$1,000.05	$1,432.10	$2,571.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,705.00 / $11,259.00 / $12,494.00	Facility		$1,705.00	$11,259.00	$12,494.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,014.16 / $1,360.59 / $2,060.77	Professional		$1,014.16	$1,360.59	$2,060.77