Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,695.13 / $1,695.13 / $1,695.13	Facility		$1,695.13	$1,695.13	$1,695.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.07 / $2,313.98 / $8,141.04	Professional		$1,401.07	$2,313.98	$8,141.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.10 / $1,823.10 / $1,823.10	Facility		$1,823.10	$1,823.10	$1,823.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,823.10 / $1,823.10	Professional		$1,330.86	$1,823.10	$1,823.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,458.26 / $3,072.83 / $4,609.24	Professional		$2,458.26	$3,072.83	$4,609.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $751.32 / $751.32 / $2,309.23	Facility		$751.32	$751.32	$2,309.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,823.10 / $3,040.30	Professional		$1,330.86	$1,823.10	$3,040.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.02 / $1,332.22 / $1,753.48	Professional		$1,076.02	$1,332.22	$1,753.48