Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,040.41 / $3,040.41 / $3,040.41	Facility		$3,040.41	$3,040.41	$3,040.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,783.83 / $2,783.83 / $3,040.41	Professional		$2,783.83	$2,783.83	$3,040.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Facility		$3,384.12	$3,384.12	$3,384.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $2,935.79	Professional		$60.00	$85.00	$2,935.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $4,200.00	Facility		$3,384.12	$3,384.12	$4,200.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,200.00	Professional		$4,200.00	$4,200.00	$4,200.00