Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,803.86 / $3,756.11 / $3,756.11	Professional		$2,803.86	$3,756.11	$3,756.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.00 / $2,187.00 / $2,187.00	Facility		$2,187.00	$2,187.00	$2,187.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.04 / $2,187.00 / $2,187.00	Professional		$418.04	$2,187.00	$2,187.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $351.71 / $781.36 / $8,134.44	Professional		$351.71	$781.36	$8,134.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.00 / $3,293.04 / $4,655.46	Facility		$2,187.00	$3,293.04	$4,655.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $418.04 / $2,187.00 / $2,187.00	Professional		$418.04	$2,187.00	$2,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,866.88 / $2,304.76 / $3,725.20	Professional		$1,866.88	$2,304.76	$3,725.20