Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,125.00 / $8,250.00 / $16,335.00	Facility		$4,125.00	$8,250.00	$16,335.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,125.00 / $6,600.00 / $6,600.00	Professional		$4,125.00	$6,600.00	$6,600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,575.00 / $3,575.00 / $3,575.00	Facility		$3,575.00	$3,575.00	$3,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,927.97 / $6,846.56 / $9,415.89	Professional		$4,927.97	$6,846.56	$9,415.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,350.75 / $8,439.75 / $8,875.35	Professional		$7,350.75	$8,439.75	$8,875.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,575.00 / $5,500.00 / $6,930.00	Facility		$3,575.00	$5,500.00	$6,930.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,802.50 / $6,846.56 / $8,114.44	Professional		$5,802.50	$6,846.56	$8,114.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $3,300.00	Professional		$2,310.00	$2,310.00	$3,300.00