Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,741.73 / $2,741.73 / $2,741.73	Facility		$2,741.73	$2,741.73	$2,741.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,531.46 / $3,742.69 / $16,214.60	Professional		$2,531.46	$3,742.69	$16,214.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,249.00 / $3,249.00 / $3,249.00	Facility		$3,249.00	$3,249.00	$3,249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $3,249.00 / $3,249.00	Professional		$2,371.77	$3,249.00	$3,249.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,976.05 / $4,970.07 / $7,455.10	Professional		$3,976.05	$4,970.07	$7,455.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,357.50 / $1,357.50 / $3,735.03	Facility		$1,357.50	$1,357.50	$3,735.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $3,249.00 / $5,734.94	Professional		$2,371.77	$3,249.00	$5,734.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,944.17 / $2,102.75 / $3,217.78	Professional		$1,944.17	$2,102.75	$3,217.78