Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,024.65 / $1,024.65 / $1,024.65	Facility		$1,024.65	$1,024.65	$1,024.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.65 / $1,573.57 / $6,803.35	Professional		$1,024.65	$1,573.57	$6,803.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.15 / $1,399.15 / $1,399.15	Facility		$1,399.15	$1,399.15	$1,399.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,399.15 / $1,399.15	Professional		$1,021.38	$1,399.15	$1,399.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,671.68 / $2,089.61 / $3,134.41	Professional		$1,671.68	$2,089.61	$3,134.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $623.69 / $623.69 / $1,570.37	Facility		$623.69	$623.69	$1,570.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,399.15 / $2,448.76	Professional		$1,021.38	$1,399.15	$2,448.76
United Facility/Professional Professional Modifier Low / Median / High Price $877.19 / $966.08 / $1,455.27	Professional		$877.19	$966.08	$1,455.27