Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $3,311.31	Professional		$1,584.89	$1,995.26	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $3,715.35 / $3,715.35	Professional		$190.55	$3,715.35	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $7,585.78	Professional		$199.53	$371.54	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,344.23 / $2,884.03	Facility		$416.87	$2,344.23	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $3,162.28 / $3,715.35	Professional		$190.55	$3,162.28	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $245.47 / $2,884.03	Facility		$138.04	$245.47	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $467.74 / $2,630.27	Professional		$154.88	$467.74	$2,630.27