Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $12,589.25 / $12,882.50	Facility		$5,754.40	$12,589.25	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $25,703.96	Professional		$2,691.53	$3,630.78	$25,703.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $5,495.41	Professional		$3,467.37	$4,365.16	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $8,317.64	Professional		$60.26	$60.26	$8,317.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,011.87 / $11,481.54	Facility		$2,570.40	$5,011.87	$11,481.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,365.16 / $5,623.41	Professional		$2,754.23	$4,365.16	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,344.23	Professional		$1,621.81	$1,621.81	$2,344.23