Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Professional		$17,782.79	$17,782.79	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,090.30	Professional		$2,454.71	$2,454.71	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $5,888.44	Professional		$4,168.69	$4,168.69	$5,888.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,168.69 / $7,943.28	Facility		$1,778.28	$4,168.69	$7,943.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $3,890.45	Professional		$2,454.71	$3,090.30	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,621.81	Professional		$1,148.15	$1,148.15	$1,621.81