Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,799.35 / $4,799.35 / $4,799.35	Facility		$4,799.35	$4,799.35	$4,799.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,193.12 / $4,193.12 / $4,799.35	Professional		$4,193.12	$4,193.12	$4,799.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
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 $4,291.50 / $4,294.16 / $4,294.16	Facility		$4,291.50	$4,294.16	$4,294.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $4,209.96	Professional		$4,209.96	$4,209.96	$4,209.96