Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,673.64 / $1,673.64 / $1,673.64	Facility		$1,673.64	$1,673.64	$1,673.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,456.62 / $2,284.65 / $8,925.33	Professional		$1,456.62	$2,284.65	$8,925.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.38 / $1,769.38 / $1,769.38	Facility		$1,769.38	$1,769.38	$1,769.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,769.38 / $1,769.38	Professional		$1,291.65	$1,769.38	$1,769.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,427.10 / $3,033.88 / $4,550.82	Professional		$2,427.10	$3,033.88	$4,550.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $781.11 / $781.11 / $2,279.98	Facility		$781.11	$781.11	$2,279.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,769.38 / $3,197.81	Professional		$1,291.65	$1,769.38	$3,197.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,118.68 / $1,458.08 / $1,823.00	Professional		$1,118.68	$1,458.08	$1,823.00