Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,659.33 / $4,902.12 / $4,902.12	Professional		$3,659.33	$4,902.12	$4,902.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,587.01 / $5,587.01 / $5,587.01	Facility		$5,587.01	$5,587.01	$5,587.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $5,587.01 / $5,587.01	Professional		$615.05	$5,587.01	$5,587.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $458.95 / $1,110.31 / $8,954.52	Professional		$458.95	$1,110.31	$8,954.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,625.04 / $4,142.64 / $6,075.87	Facility		$3,625.04	$4,142.64	$6,075.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $5,587.01 / $5,587.01	Professional		$615.05	$5,587.01	$5,587.01
United Facility/Professional Professional Modifier Low / Median / High Price $2,362.85 / $2,537.12 / $4,100.80	Professional		$2,362.85	$2,537.12	$4,100.80