Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $4,674.00 / $9,348.00	Facility		$2,337.00	$4,674.00	$9,348.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,337.00 / $3,739.20 / $20,035.90	Professional		$2,337.00	$3,739.20	$20,035.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,025.40 / $2,025.40 / $2,025.40	Facility		$2,025.40	$2,025.40	$2,025.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,791.88 / $2,791.88 / $3,536.63	Professional		$2,791.88	$2,791.88	$3,536.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,829.80 / $5,079.08 / $5,079.08	Professional		$4,829.80	$5,079.08	$5,079.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,025.40 / $3,125.73 / $3,926.16	Facility		$2,025.40	$3,125.73	$3,926.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,297.65 / $3,770.36 / $4,331.24	Professional		$3,297.65	$3,770.36	$4,331.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.72 / $1,312.81 / $1,869.60	Professional		$1,308.72	$1,312.81	$1,869.60