Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,747.89 / $3,681.14 / $3,681.14	Professional		$2,747.89	$3,681.14	$3,681.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,642.21 / $1,642.21 / $1,642.21	Facility		$1,642.21	$1,642.21	$1,642.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.42 / $1,642.21 / $1,642.21	Professional		$470.42	$1,642.21	$1,642.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $344.58 / $895.09 / $6,892.76	Professional		$344.58	$895.09	$6,892.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,895.41 / $2,910.99 / $4,562.54	Facility		$1,895.41	$2,910.99	$4,562.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $470.42 / $1,642.21 / $1,642.21	Professional		$470.42	$1,642.21	$1,642.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,653.58 / $2,938.92 / $4,422.63	Professional		$2,653.58	$2,938.92	$4,422.63