Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,606.93 / $14,791.08	Facility		$4,677.35	$6,606.93	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,370.32	Professional		$4,265.80	$4,265.80	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $6,025.60	Facility		$4,265.80	$5,011.87	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,168.69 / $6,025.60	Professional		$3,981.07	$4,168.69	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $4,265.80 / $5,370.32	Facility		$63.10	$4,265.80	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,011.87	Professional		$4,265.80	$4,265.80	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,265.80 / $4,466.84	Professional		$3,981.07	$4,265.80	$4,466.84