Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,812.50 / $5,625.00 / $11,250.00	Facility		$2,812.50	$5,625.00	$11,250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,812.50 / $4,500.00 / $24,112.50	Professional		$2,812.50	$4,500.00	$24,112.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,437.50 / $2,437.50 / $2,437.50	Facility		$2,437.50	$2,437.50	$2,437.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,359.94 / $3,359.94 / $4,256.33	Professional		$3,359.94	$3,359.94	$4,256.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,812.50 / $6,112.50 / $6,112.50	Professional		$5,812.50	$6,112.50	$6,112.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,437.50 / $2,920.30 / $4,725.00	Facility		$2,437.50	$2,920.30	$4,725.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,359.94 / $4,537.50 / $5,212.50	Professional		$3,359.94	$4,537.50	$5,212.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.53 / $1,226.53 / $2,250.00	Professional		$1,226.53	$1,226.53	$2,250.00