Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,882.66 / $3,765.31 / $7,530.63	Facility		$1,882.66	$3,765.31	$7,530.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,882.66 / $3,012.25 / $16,140.60	Professional		$1,882.66	$3,012.25	$16,140.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,631.64 / $1,631.64 / $1,631.64	Facility		$1,631.64	$1,631.64	$1,631.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,249.26 / $2,249.26 / $3,165.52	Professional		$2,249.26	$2,249.26	$3,165.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $4,091.64	Professional		$60.00	$60.00	$4,091.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,631.64 / $3,099.02 / $3,904.77	Facility		$1,631.64	$3,099.02	$3,904.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,886.74 / $3,175.42 / $3,489.19	Professional		$2,886.74	$3,175.42	$3,489.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,301.58 / $1,506.13	Professional		$1,054.29	$1,301.58	$1,506.13