Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,247.29 / $1,247.29 / $1,247.29	Facility		$1,247.29	$1,247.29	$1,247.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,247.29 / $1,915.49 / $6,797.73	Professional		$1,247.29	$1,915.49	$6,797.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.14 / $1,618.14 / $1,618.14	Facility		$1,618.14	$1,618.14	$1,618.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.24 / $1,618.14 / $1,618.14	Professional		$1,181.24	$1,618.14	$1,618.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,034.92 / $2,543.66 / $3,815.49	Professional		$2,034.92	$2,543.66	$3,815.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.36 / $710.36 / $1,911.57	Facility		$710.36	$710.36	$1,911.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,181.24 / $1,618.14 / $2,794.61	Professional		$1,181.24	$1,618.14	$2,794.61
United Facility/Professional Professional Modifier Low / Median / High Price $999.10 / $1,100.33 / $1,657.49	Professional		$999.10	$1,100.33	$1,657.49