Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,522.50 / $3,045.00 / $6,090.00	Facility		$1,522.50	$3,045.00	$6,090.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,522.50 / $2,436.00 / $13,052.90	Professional		$1,522.50	$2,436.00	$13,052.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,319.50 / $1,319.50 / $1,319.50	Facility		$1,319.50	$1,319.50	$1,319.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,818.88 / $1,818.88 / $2,304.10	Professional		$1,818.88	$1,818.88	$2,304.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $3,308.90	Professional		$60.00	$60.00	$3,308.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,319.50 / $1,320.80 / $2,030.00	Facility		$1,319.50	$1,320.80	$2,030.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,141.65 / $2,456.30 / $2,821.70	Professional		$2,141.65	$2,456.30	$2,821.70
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $852.60 / $1,218.00	Professional		$852.60	$852.60	$1,218.00