Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,630.78 / $4,365.16	Professional		$3,548.13	$3,630.78	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $446.68 / $977.24	Professional		$60.26	$446.68	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,890.45 / $7,762.47	Facility		$3,548.13	$3,890.45	$7,762.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $4,265.80	Facility		$776.25	$776.25	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $3,801.89	Professional		$3,630.78	$3,801.89	$3,801.89