Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.27 / $1,276.27 / $1,276.27	Facility		$1,276.27	$1,276.27	$1,276.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,276.27 / $1,959.98 / $8,812.58	Professional		$1,276.27	$1,959.98	$8,812.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $1,638.80	Facility		$1,638.80	$1,638.80	$1,638.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $3,113.22	Professional		$1,196.32	$1,196.32	$3,113.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,082.19 / $2,602.73 / $3,904.11	Professional		$2,082.19	$2,602.73	$3,904.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.77 / $783.77 / $1,955.97	Facility		$783.77	$783.77	$1,955.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,638.80 / $3,564.85	Professional		$1,196.32	$1,638.80	$3,564.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,203.23 / $1,203.23 / $1,203.23	Facility		$1,203.23	$1,203.23	$1,203.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,102.34 / $1,214.06 / $1,828.81	Professional		$1,102.34	$1,214.06	$1,828.81