Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,275.00 / $4,275.00 / $4,275.00	Facility		$4,275.00	$4,275.00	$4,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,735.00 / $3,735.00 / $4,275.00	Professional		$3,735.00	$3,735.00	$4,275.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Facility		$3,825.00	$3,825.00	$3,825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $60.00 / $1,500.00	Professional		$24.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $379.41 / $587.04 / $3,825.00	Facility		$379.41	$587.04	$3,825.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $3,750.00	Professional		$3,750.00	$3,750.00	$3,750.00