Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,535.50 / $1,535.50 / $1,535.50	Facility		$1,535.50	$1,535.50	$1,535.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,253.82 / $2,096.08 / $8,030.97	Professional		$1,253.82	$2,096.08	$8,030.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $1,620.00	Facility		$1,620.00	$1,620.00	$1,620.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,620.00 / $1,620.00	Professional		$1,182.59	$1,620.00	$1,620.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,226.76 / $2,783.46 / $4,175.18	Professional		$2,226.76	$2,783.46	$4,175.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $672.36 / $672.36 / $2,091.80	Facility		$672.36	$672.36	$2,091.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,620.00 / $2,446.40	Professional		$1,182.59	$1,620.00	$2,446.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,365.94 / $2,365.94 / $2,783.46	Facility		$2,365.94	$2,365.94	$2,783.46
United Facility/Professional Professional Modifier Low / Median / High Price $962.93 / $1,192.21 / $1,569.19	Professional		$962.93	$1,192.21	$1,569.19