Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,874.90 / $1,874.90 / $1,874.90	Facility		$1,874.90	$1,874.90	$1,874.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,844.39 / $2,559.39 / $9,593.95	Professional		$1,844.39	$2,559.39	$9,593.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,571.77 / $2,571.77 / $2,571.77	Facility		$2,571.77	$2,571.77	$2,571.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $2,571.77 / $2,571.77	Professional		$1,877.39	$2,571.77	$2,571.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,718.96 / $3,398.71 / $5,098.06	Professional		$2,718.96	$3,398.71	$5,098.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $989.06 / $989.06 / $2,571.77	Facility		$989.06	$989.06	$2,571.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $2,571.77 / $3,982.86	Professional		$1,877.39	$2,571.77	$3,982.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,416.49 / $1,532.03 / $2,344.42	Professional		$1,416.49	$1,532.03	$2,344.42