Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,080.06 / $10,824.23 / $10,824.23	Professional		$8,080.06	$10,824.23	$10,824.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,694.63 / $10,694.63 / $10,694.63	Facility		$10,694.63	$10,694.63	$10,694.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.51 / $10,694.63 / $10,694.63	Professional		$1,230.51	$10,694.63	$10,694.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,015.39 / $2,611.60 / $16,190.28	Professional		$1,015.39	$2,611.60	$16,190.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,554.24 / $8,842.33 / $13,415.95	Facility		$6,554.24	$8,842.33	$13,415.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.51 / $10,694.63 / $10,694.63	Professional		$1,230.51	$10,694.63	$10,694.63
United Facility/Professional Professional Modifier Low / Median / High Price $4,550.84 / $4,922.04 / $7,414.50	Professional		$4,550.84	$4,922.04	$7,414.50