Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,863.92 / $3,863.92 / $3,863.92	Facility		$3,863.92	$3,863.92	$3,863.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,670.43 / $5,274.56 / $23,509.80	Professional		$3,670.43	$5,274.56	$23,509.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,728.96 / $4,728.96 / $4,728.96	Facility		$4,728.96	$4,728.96	$4,728.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $4,728.96 / $4,728.96	Professional		$3,452.14	$4,728.96	$4,728.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,603.44 / $7,004.30 / $10,506.45	Professional		$5,603.44	$7,004.30	$10,506.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,968.27 / $1,968.27 / $5,263.77	Facility		$1,968.27	$1,968.27	$5,263.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $4,728.96 / $8,531.26	Professional		$3,452.14	$4,728.96	$8,531.26
United Facility/Professional Facility Modifier Low / Median / High Price $6,926.06 / $6,926.06 / $8,148.31	Facility		$6,926.06	$6,926.06	$8,148.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.89 / $3,048.83 / $4,698.14	Professional		$2,818.89	$3,048.83	$4,698.14