Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,666.00 / $2,666.00 / $2,666.00	Facility		$2,666.00	$2,666.00	$2,666.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,666.00 / $3,639.30 / $18,591.59	Professional		$2,666.00	$3,639.30	$18,591.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,578.08 / $3,578.08 / $3,578.08	Facility		$3,578.08	$3,578.08	$3,578.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $2,612.00 / $6,797.25	Professional		$2,612.00	$2,612.00	$6,797.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,866.21 / $4,832.77 / $7,249.15	Professional		$3,866.21	$4,832.77	$7,249.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,556.51 / $1,556.51 / $3,631.86	Facility		$1,556.51	$1,556.51	$3,631.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $3,578.08 / $6,349.37	Professional		$2,612.00	$3,578.08	$6,349.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,229.17 / $2,411.02 / $3,715.30	Professional		$2,229.17	$2,411.02	$3,715.30