Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,097.00 / $4,148.81 / $4,148.81	Professional		$3,097.00	$4,148.81	$4,148.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,303.28 / $4,303.28 / $4,303.28	Facility		$4,303.28	$4,303.28	$4,303.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.38 / $4,303.28 / $4,303.28	Professional		$459.38	$4,303.28	$4,303.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $358.68 / $876.72 / $8,734.08	Professional		$358.68	$876.72	$8,734.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,535.76 / $3,716.72 / $5,142.18	Facility		$3,535.76	$3,716.72	$5,142.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $459.38 / $4,303.28 / $4,303.28	Professional		$459.38	$4,303.28	$4,303.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,793.44 / $2,514.44 / $3,999.80	Professional		$1,793.44	$2,514.44	$3,999.80