Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.84 / $1,389.84 / $1,389.84	Facility		$1,389.84	$1,389.84	$1,389.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.28 / $1,214.28 / $1,389.84	Professional		$1,214.28	$1,214.28	$1,389.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Facility		$1,243.54	$1,243.54	$1,243.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,124.21 / $1,124.21 / $1,124.21	Professional		$1,124.21	$1,124.21	$1,124.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,183.65 / $1,243.54 / $1,243.54	Facility		$1,183.65	$1,243.54	$1,243.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,219.16	Professional		$1,219.16	$1,219.16	$1,219.16