Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.45 / $5,011.45 / $5,011.45	Facility		$5,011.45	$5,011.45	$5,011.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,378.42 / $4,378.42 / $5,011.45	Professional		$4,378.42	$4,378.42	$5,011.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Facility		$4,483.93	$4,483.93	$4,483.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $2,649.99	Professional		$60.00	$85.00	$2,649.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,756.61 / $4,483.93 / $4,483.93	Facility		$3,756.61	$4,483.93	$4,483.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $5,275.21	Professional		$5,275.21	$5,275.21	$5,275.21