Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,512.95 / $1,512.95 / $1,512.95	Facility		$1,512.95	$1,512.95	$1,512.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,512.95 / $2,323.46 / $11,179.20	Professional		$1,512.95	$2,323.46	$11,179.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $1,815.81	Facility		$1,815.81	$1,815.81	$1,815.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,815.81 / $1,815.81	Professional		$1,325.54	$1,815.81	$1,815.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,468.33 / $3,085.42 / $4,628.13	Professional		$2,468.33	$3,085.42	$4,628.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $935.93 / $935.93 / $2,318.71	Facility		$935.93	$935.93	$2,318.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,815.81 / $3,615.73	Professional		$1,325.54	$1,815.81	$3,615.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,316.35 / $1,449.74 / $2,183.83	Professional		$1,316.35	$1,449.74	$2,183.83