Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,715.35	Professional		$1,445.44	$2,041.74	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $6,025.60	Professional		$1,905.46	$1,905.46	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $5,888.44	Professional		$3,162.28	$3,890.45	$5,888.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,951.21 / $4,466.84	Facility		$1,071.52	$2,951.21	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $5,128.61	Professional		$1,905.46	$1,905.46	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $4,466.84	Facility		$1,288.25	$2,511.89	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,511.89	Professional		$1,513.56	$1,905.46	$2,511.89