Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,591.07 / $4,810.68 / $4,810.68	Professional		$3,591.07	$4,810.68	$4,810.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,775.22 / $4,775.22 / $4,775.22	Facility		$4,775.22	$4,775.22	$4,775.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $4,775.22 / $4,775.22	Professional		$615.41	$4,775.22	$4,775.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $450.32 / $1,166.09 / $8,979.76	Professional		$450.32	$1,166.09	$8,979.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,469.31 / $3,935.94 / $5,962.53	Facility		$2,469.31	$3,935.94	$5,962.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $4,775.22 / $4,775.22	Professional		$615.41	$4,775.22	$4,775.22
United Facility/Professional Professional Modifier Low / Median / High Price $3,241.76 / $3,840.72 / $5,761.72	Professional		$3,241.76	$3,840.72	$5,761.72