Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,943.28 / $8,128.31	Facility		$3,715.35	$7,943.28	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $16,218.10	Professional		$1,698.24	$2,290.87	$16,218.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $3,630.78	Professional		$2,187.76	$2,818.38	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,248.07	Professional		$3,801.89	$3,801.89	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,090.30 / $7,244.36	Facility		$1,621.81	$3,090.30	$7,244.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $3,630.78	Professional		$1,819.70	$2,884.03	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,479.11	Professional		$1,023.29	$1,023.29	$1,479.11