Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,138.56 / $6,883.73 / $6,883.73	Professional		$5,138.56	$6,883.73	$6,883.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,704.40 / $3,704.40 / $3,704.40	Facility		$3,704.40	$3,704.40	$3,704.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $3,704.40 / $3,704.40	Professional		$782.55	$3,704.40	$3,704.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $645.74 / $1,660.86 / $10,296.48	Professional		$645.74	$1,660.86	$10,296.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,168.24 / $5,429.42 / $8,531.95	Facility		$4,168.24	$5,429.42	$8,531.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $3,704.40 / $3,704.40	Professional		$782.55	$3,704.40	$3,704.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,894.20 / $3,130.20 / $4,715.39	Professional		$2,894.20	$3,130.20	$4,715.39