Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,072.29 / $1,072.29 / $1,072.29	Facility		$1,072.29	$1,072.29	$1,072.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.29 / $1,646.74 / $6,125.35	Professional		$1,072.29	$1,646.74	$6,125.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $1,540.39	Facility		$1,540.39	$1,540.39	$1,540.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,540.39 / $1,540.39	Professional		$1,124.48	$1,540.39	$1,540.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,749.41 / $2,186.77 / $3,280.15	Professional		$1,749.41	$2,186.77	$3,280.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $625.83 / $625.83 / $1,643.36	Facility		$625.83	$625.83	$1,643.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,540.39 / $2,487.89	Professional		$1,124.48	$1,540.39	$2,487.89
United Facility/Professional Professional Modifier Low / Median / High Price $880.20 / $969.40 / $1,460.26	Professional		$880.20	$969.40	$1,460.26