Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,874.04 / $5,189.75 / $5,189.75	Professional		$3,874.04	$5,189.75	$5,189.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,470.13 / $5,470.13 / $5,470.13	Facility		$5,470.13	$5,470.13	$5,470.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.88 / $5,470.13 / $5,470.13	Professional		$585.88	$5,470.13	$5,470.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.48 / $1,118.17 / $10,531.20	Professional		$457.48	$1,118.17	$10,531.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,263.12 / $4,385.70 / $6,432.36	Facility		$4,263.12	$4,385.70	$6,432.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $585.88 / $5,470.13 / $5,470.13	Professional		$585.88	$5,470.13	$5,470.13
United Facility/Professional Professional Modifier Low / Median / High Price $2,713.48 / $3,092.85 / $4,822.60	Professional		$2,713.48	$3,092.85	$4,822.60