Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,591.25 / $1,591.25 / $1,591.25	Facility		$1,591.25	$1,591.25	$1,591.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,390.25 / $1,390.25 / $1,591.25	Professional		$1,390.25	$1,390.25	$1,591.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Facility		$1,380.10	$1,380.10	$1,380.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Facility		$1,380.10	$1,380.10	$1,380.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $1,675.00 / $1,675.00	Professional		$1,675.00	$1,675.00	$1,675.00