Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,133.65 / $1,133.65 / $1,133.65	Facility		$1,133.65	$1,133.65	$1,133.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.65 / $1,740.96 / $8,762.03	Professional		$1,133.65	$1,740.96	$8,762.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $1,703.99	Facility		$1,703.99	$1,703.99	$1,703.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,703.99 / $1,703.99	Professional		$1,243.91	$1,703.99	$1,703.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,849.50 / $2,311.88 / $3,467.82	Professional		$1,849.50	$2,311.88	$3,467.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.56 / $733.56 / $1,737.41	Facility		$733.56	$733.56	$1,737.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,703.99 / $2,669.10	Professional		$1,243.91	$1,703.99	$2,669.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.73 / $1,136.29 / $1,711.65	Professional		$1,031.73	$1,136.29	$1,711.65