Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,221.23 / $1,221.23 / $1,221.23	Facility		$1,221.23	$1,221.23	$1,221.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,221.23 / $1,875.46 / $9,051.53	Professional		$1,221.23	$1,875.46	$9,051.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $1,549.06	Facility		$1,549.06	$1,549.06	$1,549.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,549.06 / $1,549.06	Professional		$1,130.81	$1,549.06	$1,549.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,992.40 / $2,490.50 / $3,735.75	Professional		$1,992.40	$2,490.50	$3,735.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $757.80 / $757.80 / $1,871.63	Facility		$757.80	$757.80	$1,871.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,549.06 / $2,918.56	Professional		$1,130.81	$1,549.06	$2,918.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,065.83 / $1,173.83 / $1,768.21	Professional		$1,065.83	$1,173.83	$1,768.21