Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $2,044.88	Facility		$2,044.88	$2,044.88	$2,044.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $3,140.35 / $13,590.40	Professional		$2,044.88	$3,140.35	$13,590.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,507.59 / $2,507.59 / $2,507.59	Facility		$2,507.59	$2,507.59	$2,507.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $2,507.59 / $2,507.59	Professional		$1,830.54	$2,507.59	$2,507.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,336.16 / $4,170.20 / $6,255.30	Professional		$3,336.16	$4,170.20	$6,255.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,137.80 / $1,137.80 / $3,133.92	Facility		$1,137.80	$1,137.80	$3,133.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $2,507.59 / $4,886.95	Professional		$1,830.54	$2,507.59	$4,886.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,600.29 / $1,762.45 / $2,654.88	Professional		$1,600.29	$1,762.45	$2,654.88