Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,735.60 / $3,735.60 / $3,735.60	Facility		$3,735.60	$3,735.60	$3,735.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,735.60 / $5,099.39 / $23,957.20	Professional		$3,735.60	$5,099.39	$23,957.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,366.38 / $4,366.38 / $4,366.38	Facility		$4,366.38	$4,366.38	$4,366.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $4,366.38 / $4,366.38	Professional		$3,187.46	$4,366.38	$4,366.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,417.34 / $6,771.68 / $10,157.52	Professional		$5,417.34	$6,771.68	$10,157.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,005.72 / $2,005.72 / $5,088.96	Facility		$2,005.72	$2,005.72	$5,088.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $4,366.38 / $8,043.35	Professional		$3,187.46	$4,366.38	$8,043.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,872.52 / $3,106.84 / $4,787.54	Professional		$2,872.52	$3,106.84	$4,787.54