Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,868.74 / $1,868.74 / $1,868.74	Facility		$1,868.74	$1,868.74	$1,868.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,700.50 / $2,550.98 / $10,833.10	Professional		$1,700.50	$2,550.98	$10,833.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $1,769.18	Facility		$1,769.18	$1,769.18	$1,769.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,769.17 / $1,769.18	Professional		$1,291.50	$1,769.17	$1,769.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,710.03 / $3,387.54 / $5,081.31	Professional		$2,710.03	$3,387.54	$5,081.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $911.89 / $911.89 / $2,545.77	Facility		$911.89	$911.89	$2,545.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,769.18 / $3,663.28	Professional		$1,291.50	$1,769.18	$3,663.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,305.98 / $1,483.64 / $2,161.52	Professional		$1,305.98	$1,483.64	$2,161.52