Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,632.80 / $10,225.07 / $10,225.07	Professional		$7,632.80	$10,225.07	$10,225.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,102.62 / $10,102.62 / $10,102.62	Facility		$10,102.62	$10,102.62	$10,102.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.40 / $10,102.62 / $10,102.62	Professional		$1,162.40	$10,102.62	$10,102.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $959.19 / $2,467.03 / $15,294.12	Professional		$959.19	$2,467.03	$15,294.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,191.44 / $8,352.87 / $12,673.32	Facility		$6,191.44	$8,352.87	$12,673.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,162.40 / $10,102.62 / $10,102.62	Professional		$1,162.40	$10,102.62	$10,102.62
United Facility/Professional Professional Modifier Low / Median / High Price $4,262.64 / $4,649.60 / $7,004.10	Professional		$4,262.64	$4,649.60	$7,004.10