Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,164.25 / $2,164.25 / $2,164.25	Facility		$2,164.25	$2,164.25	$2,164.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,991.05 / $2,954.38 / $12,753.10	Professional		$1,991.05	$2,954.38	$12,753.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $2,637.76	Facility		$2,637.76	$2,637.76	$2,637.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $2,637.76 / $2,637.76	Professional		$1,925.56	$2,637.76	$2,637.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,138.58 / $3,923.23 / $5,884.84	Professional		$3,138.58	$3,923.23	$5,884.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,067.70 / $1,067.70 / $2,948.33	Facility		$1,067.70	$1,067.70	$2,948.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $2,637.76 / $4,597.54	Professional		$1,925.56	$2,637.76	$4,597.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,529.12 / $1,653.86 / $2,491.30	Professional		$1,529.12	$1,653.86	$2,491.30