Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.63 / $2,884.63 / $2,884.63	Facility		$2,884.63	$2,884.63	$2,884.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,753.43 / $3,937.75 / $17,636.30	Professional		$2,753.43	$3,937.75	$17,636.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,670.30 / $3,670.30 / $3,670.30	Facility		$3,670.30	$3,670.30	$3,670.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $3,670.30 / $3,670.30	Professional		$2,679.32	$3,670.30	$3,670.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,183.28 / $5,229.10 / $7,843.65	Professional		$4,183.28	$5,229.10	$7,843.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,476.53 / $1,476.53 / $3,929.70	Facility		$1,476.53	$1,476.53	$3,929.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $3,670.30 / $6,251.20	Professional		$2,679.32	$3,670.30	$6,251.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,114.63 / $2,287.12 / $3,445.23	Professional		$2,114.63	$2,287.12	$3,445.23