Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,832.00 / $11,664.00 / $23,328.00	Facility		$5,832.00	$11,664.00	$23,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,832.00 / $9,331.20 / $9,331.20	Professional		$5,832.00	$9,331.20	$9,331.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,054.39 / $5,054.39 / $5,054.39	Facility		$5,054.39	$5,054.39	$5,054.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,967.31 / $6,967.31 / $6,967.31	Professional		$6,967.31	$6,967.31	$6,967.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,497.60 / $12,052.80 / $12,674.88	Professional		$10,497.60	$12,052.80	$12,674.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,480.40 / $5,054.39 / $7,776.00	Facility		$2,480.40	$5,054.39	$7,776.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $8,203.68 / $9,408.95 / $10,808.64	Professional		$8,203.68	$9,408.95	$10,808.64
United Facility/Professional Professional Modifier Low / Median / High Price $3,265.92 / $3,265.92 / $4,665.60	Professional		$3,265.92	$3,265.92	$4,665.60