Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,230.27	Professional		$1,023.29	$1,071.52	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,041.74	Facility		$1,096.48	$1,096.48	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,819.70	Professional		$954.99	$1,258.93	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,071.52 / $1,412.54	Facility		$426.58	$1,071.52	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,348.96	Professional		$1,096.48	$1,096.48	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,148.15	Professional		$1,071.52	$1,071.52	$1,148.15