Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,394.75 / $10,789.50 / $21,579.00	Facility		$5,394.75	$10,789.50	$21,579.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,394.75 / $8,631.60 / $8,631.60	Professional		$5,394.75	$8,631.60	$8,631.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,675.45 / $4,675.45 / $4,675.45	Facility		$4,675.45	$4,675.45	$4,675.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,444.84 / $8,954.12 / $12,314.37	Professional		$6,444.84	$8,954.12	$12,314.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,710.54 / $11,149.15 / $11,724.59	Professional		$9,710.54	$11,149.15	$11,724.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,675.45 / $7,193.00 / $9,063.18	Facility		$4,675.45	$7,193.00	$9,063.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,588.62 / $8,954.12 / $10,612.30	Professional		$7,588.62	$8,954.12	$10,612.30
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.06 / $3,021.06 / $4,315.80	Professional		$3,021.06	$3,021.06	$4,315.80