Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,965.92 / $3,965.92 / $3,965.92	Facility		$3,965.92	$3,965.92	$3,965.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,561.45	Professional		$2,608.16	$2,608.16	$3,561.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,415.66	Facility		$2,608.16	$2,608.16	$3,415.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,608.16	Professional		$2,608.16	$2,608.16	$2,608.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $2,814.50 / $4,357.68	Professional		$2,732.53	$2,814.50	$4,357.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,182.97 / $2,441.84 / $3,312.36	Facility		$1,182.97	$2,441.84	$3,312.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,415.66	Professional		$2,608.16	$2,608.16	$3,415.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.43 / $2,673.43 / $4,411.16	Facility		$2,673.43	$2,673.43	$4,411.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,764.65	Professional		$2,608.16	$2,608.16	$2,764.65