Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $2,041.74	Professional		$1,659.59	$1,698.24	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $602.56 / $1,288.25	Professional		$60.26	$602.56	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $3,467.37	Facility		$1,659.59	$1,737.80	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,949.84	Facility		$933.25	$933.25	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24