Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,549.56 / $3,549.56 / $3,549.56	Facility		$3,549.56	$3,549.56	$3,549.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,549.56 / $4,845.43 / $23,747.30	Professional		$3,549.56	$4,845.43	$23,747.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $4,865.01	Facility		$4,865.01	$4,865.01	$4,865.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $4,865.01 / $4,865.01	Professional		$3,551.46	$4,865.01	$4,865.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,147.55 / $6,434.44 / $9,651.66	Professional		$5,147.55	$6,434.44	$9,651.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,988.15 / $1,988.15 / $4,865.01	Facility		$1,988.15	$1,988.15	$4,865.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $4,865.01 / $8,617.43	Professional		$3,551.46	$4,865.01	$8,617.43
United Facility/Professional Professional Modifier Low / Median / High Price $2,847.36 / $3,525.31 / $4,745.60	Professional		$2,847.36	$3,525.31	$4,745.60