Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,980.55 / $5,980.55 / $5,980.55	Facility		$5,980.55	$5,980.55	$5,980.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,225.12 / $5,225.12 / $5,980.55	Professional		$5,225.12	$5,225.12	$5,980.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Facility		$5,351.02	$5,351.02	$5,351.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,232.68 / $1,232.68 / $1,232.68	Professional		$1,232.68	$1,232.68	$1,232.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $5,351.02 / $5,351.02	Facility		$3,500.00	$5,351.02	$5,351.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,855.30 / $4,855.30 / $8,011.25	Facility		$4,855.30	$4,855.30	$8,011.25
United Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $5,246.10	Professional		$5,246.10	$5,246.10	$5,246.10