Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $2,041.74	Professional		$1,047.13	$1,288.25	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $3,630.78	Professional		$1,096.48	$1,096.48	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $3,715.35	Professional		$1,995.26	$2,511.89	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,862.09 / $3,090.30	Facility		$741.31	$1,862.09	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $3,311.31	Professional		$1,096.48	$1,096.48	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $3,090.30	Facility		$870.96	$1,258.93	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,737.80	Professional		$1,047.13	$1,148.15	$1,737.80