Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,904.75 / $5,809.50 / $11,619.00	Facility		$2,904.75	$5,809.50	$11,619.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,904.75 / $4,647.60 / $24,903.40	Professional		$2,904.75	$4,647.60	$24,903.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,517.44 / $2,517.44 / $2,517.44	Facility		$2,517.44	$2,517.44	$2,517.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,470.32 / $4,668.18 / $6,420.03	Professional		$3,470.32	$4,668.18	$6,420.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,003.15 / $6,274.28 / $6,312.99	Professional		$6,003.15	$6,274.28	$6,312.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,517.44 / $3,873.00 / $4,879.97	Facility		$2,517.44	$3,873.00	$4,879.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,976.60 / $4,686.33 / $5,577.12	Professional		$3,976.60	$4,686.33	$5,577.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,485.70 / $3,485.70 / $3,485.70	Facility		$3,485.70	$3,485.70	$3,485.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,626.66 / $2,323.80	Professional		$1,626.66	$1,626.66	$2,323.80