Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,327.98 / $2,327.98 / $2,327.98	Facility		$2,327.98	$2,327.98	$2,327.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,988.34 / $3,177.90 / $12,735.70	Professional		$1,988.34	$3,177.90	$12,735.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $2,482.86	Facility		$2,482.86	$2,482.86	$2,482.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $2,482.86 / $2,482.86	Professional		$1,812.49	$2,482.86	$2,482.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,376.04 / $4,220.06 / $6,330.09	Professional		$3,376.04	$4,220.06	$6,330.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,066.25 / $1,066.25 / $3,171.40	Facility		$1,066.25	$1,066.25	$3,171.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $2,482.86 / $4,945.38	Professional		$1,812.49	$2,482.86	$4,945.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,272.54 / $2,182.50 / $2,363.51	Facility		$1,272.54	$2,182.50	$2,363.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,527.05 / $1,651.61 / $2,545.08	Professional		$1,527.05	$1,651.61	$2,545.08