Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,583.06 / $1,583.06 / $1,583.06	Facility		$1,583.06	$1,583.06	$1,583.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,583.06 / $2,431.13 / $12,419.60	Professional		$1,583.06	$2,431.13	$12,419.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $2,017.28	Facility		$2,017.28	$2,017.28	$2,017.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $2,017.28 / $2,017.28	Professional		$1,472.61	$2,017.28	$2,017.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,582.71 / $3,228.39 / $4,842.58	Professional		$2,582.71	$3,228.39	$4,842.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,039.78 / $1,039.78 / $2,426.16	Facility		$1,039.78	$1,039.78	$2,426.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $2,017.28 / $3,783.26	Professional		$1,472.61	$2,017.28	$3,783.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,462.42 / $1,610.60 / $2,426.16	Professional		$1,462.42	$1,610.60	$2,426.16