Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.28 / $1,209.28 / $1,209.28	Facility		$1,209.28	$1,209.28	$1,209.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,095.74 / $1,650.76 / $7,018.39	Professional		$1,095.74	$1,650.76	$7,018.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.58 / $1,573.58 / $1,573.58	Facility		$1,573.58	$1,573.58	$1,573.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,573.58 / $1,573.58	Professional		$1,148.71	$1,573.58	$1,573.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,753.69 / $2,192.12 / $3,288.18	Professional		$1,753.69	$2,192.12	$3,288.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $587.59 / $587.59 / $1,647.39	Facility		$587.59	$587.59	$1,647.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,573.58 / $2,271.91	Professional		$1,148.71	$1,573.58	$2,271.91
United Facility/Professional Professional Modifier Low / Median / High Price $841.52 / $1,041.89 / $1,392.81	Professional		$841.52	$1,041.89	$1,392.81