Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,175.83 / $7,175.83 / $7,175.83	Facility		$7,175.83	$7,175.83	$7,175.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,175.83 / $9,612.90 / $11,751.27	Professional		$7,175.83	$9,612.90	$11,751.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.81 / $10,777.03 / $19,000.50	Professional		$1,092.81	$10,777.03	$19,000.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $676.32 / $901.76 / $901.76	Professional		$676.32	$901.76	$901.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,233.06 / $7,582.01 / $11,853.46	Facility		$4,233.06	$7,582.01	$11,853.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,092.81 / $1,811.98 / $10,777.03	Professional		$1,092.81	$1,811.98	$10,777.03
United Facility/Professional Professional Modifier Low / Median / High Price $5,953.67 / $6,507.39 / $9,877.14	Professional		$5,953.67	$6,507.39	$9,877.14