Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,953.92 / $1,953.92 / $1,953.92	Facility		$1,953.92	$1,953.92	$1,953.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,707.11 / $1,707.11 / $1,953.92	Professional		$1,707.11	$1,707.11	$1,953.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
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 $1,747.16 / $1,748.25 / $1,748.25	Facility		$1,747.16	$1,748.25	$1,748.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $1,713.97	Professional		$1,713.97	$1,713.97	$1,713.97