Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,742.00 / $2,742.00 / $2,742.00	Facility		$2,742.00	$2,742.00	$2,742.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,877.02 / $5,877.02 / $5,877.02	Professional		$5,877.02	$5,877.02	$5,877.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.10 / $594.10 / $594.10	Facility		$594.10	$594.10	$594.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.90 / $818.90 / $1,037.56	Professional		$818.90	$818.90	$1,037.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,416.70 / $1,489.82 / $1,489.82	Professional		$1,416.70	$1,489.82	$1,489.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $594.10 / $594.10 / $914.00	Facility		$594.10	$594.10	$914.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $964.27 / $1,105.94 / $1,270.46	Professional		$964.27	$1,105.94	$1,270.46
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $383.88 / $548.40	Professional		$383.88	$383.88	$548.40