Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,153.25 / $4,306.50 / $8,613.00	Facility		$2,153.25	$4,306.50	$8,613.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,153.25 / $3,445.20 / $18,460.50	Professional		$2,153.25	$3,445.20	$18,460.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,866.15 / $1,866.15 / $1,866.15	Facility		$1,866.15	$1,866.15	$1,866.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,572.35 / $2,572.35 / $3,258.50	Professional		$2,572.35	$2,572.35	$3,258.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,450.05 / $4,679.72 / $4,679.72	Professional		$4,450.05	$4,679.72	$4,679.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,866.15 / $2,126.78 / $3,617.46	Facility		$1,866.15	$2,126.78	$3,617.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,572.35 / $3,473.91 / $3,990.69	Professional		$2,572.35	$3,473.91	$3,990.69
United Facility/Professional Professional Modifier Low / Median / High Price $893.25 / $893.25 / $1,722.60	Professional		$893.25	$893.25	$1,722.60