Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,937.33 / $7,953.78 / $7,953.78	Professional		$5,937.33	$7,953.78	$7,953.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,109.46 / $5,109.46 / $5,109.46	Facility		$5,109.46	$5,109.46	$5,109.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.20 / $904.20 / $5,109.46	Professional		$904.20	$904.20	$5,109.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $746.12 / $1,919.02 / $11,896.92	Professional		$746.12	$1,919.02	$11,896.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,816.16 / $6,273.40 / $9,858.20	Facility		$4,816.16	$6,273.40	$9,858.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $904.20 / $3,455.56 / $5,109.46	Professional		$904.20	$3,455.56	$5,109.46
United Facility/Professional Professional Modifier Low / Median / High Price $3,344.04 / $3,616.80 / $5,448.30	Professional		$3,344.04	$3,616.80	$5,448.30