Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,853.06 / $1,853.06 / $1,853.06	Facility		$1,853.06	$1,853.06	$1,853.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,749.25 / $2,529.57 / $10,253.79	Professional		$1,749.25	$2,529.57	$10,253.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $1,819.89	Facility		$1,819.89	$1,819.89	$1,819.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,819.89 / $1,819.89	Professional		$1,328.52	$1,819.89	$1,819.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,687.29 / $3,359.12 / $5,038.68	Professional		$2,687.29	$3,359.12	$5,038.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $938.03 / $938.03 / $2,524.39	Facility		$938.03	$938.03	$2,524.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,819.89 / $4,065.82	Professional		$1,328.52	$1,819.89	$4,065.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,343.42 / $1,663.29 / $2,223.48	Professional		$1,343.42	$1,663.29	$2,223.48