Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,493.00 / $4,986.00 / $9,972.00	Facility		$2,493.00	$4,986.00	$9,972.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,493.00 / $3,988.80 / $21,373.30	Professional		$2,493.00	$3,988.80	$21,373.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.60 / $2,160.60 / $2,160.60	Facility		$2,160.60	$2,160.60	$2,160.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,978.24 / $3,819.42 / $4,774.28	Professional		$2,978.24	$3,819.42	$4,774.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,828.20 / $5,152.20 / $5,418.12	Professional		$1,828.20	$5,152.20	$5,418.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,994.40 / $3,157.80 / $3,988.80	Facility		$1,994.40	$3,157.80	$3,988.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,725.68 / $3,822.60 / $4,620.35	Professional		$2,725.68	$3,822.60	$4,620.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,991.60 / $2,991.60 / $2,991.60	Facility		$2,991.60	$2,991.60	$2,991.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,396.08 / $1,396.08 / $1,994.40	Professional		$1,396.08	$1,396.08	$1,994.40