Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,777.09 / $2,380.63 / $2,380.63	Professional		$1,777.09	$2,380.63	$2,380.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,416.31 / $2,416.31 / $2,416.31	Facility		$2,416.31	$2,416.31	$2,416.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $2,416.31 / $2,416.31	Professional		$257.99	$2,416.31	$2,416.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $222.92 / $493.50 / $5,187.24	Professional		$222.92	$493.50	$5,187.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,099.67 / $2,212.98 / $2,950.64	Facility		$2,099.67	$2,212.98	$2,950.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $2,416.31 / $2,416.31	Professional		$257.99	$2,416.31	$2,416.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,228.59 / $1,458.04 / $2,375.30	Professional		$1,228.59	$1,458.04	$2,375.30