Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.61 / $1,129.61 / $1,129.61	Facility		$1,129.61	$1,129.61	$1,129.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.50 / $1,542.01 / $6,092.11	Professional		$1,049.50	$1,542.01	$6,092.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $1,375.24	Facility		$1,375.24	$1,375.24	$1,375.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,375.24 / $1,375.24	Professional		$1,003.93	$1,375.24	$1,375.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,638.15 / $2,047.69 / $3,071.53	Professional		$1,638.15	$2,047.69	$3,071.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.79 / $562.79 / $1,538.85	Facility		$562.79	$562.79	$1,538.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,375.24 / $2,218.88	Professional		$1,003.93	$1,375.24	$2,218.88
United Facility/Professional Professional Modifier Low / Median / High Price $806.01 / $997.92 / $1,334.02	Professional		$806.01	$997.92	$1,334.02