Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,643.16 / $1,643.16 / $1,643.16	Facility		$1,643.16	$1,643.16	$1,643.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,643.16 / $2,243.04 / $11,315.60	Professional		$1,643.16	$2,243.04	$11,315.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $1,902.78	Facility		$1,902.78	$1,902.78	$1,902.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,902.78 / $1,902.78	Professional		$1,389.03	$1,902.78	$1,902.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,382.89 / $2,978.62 / $4,467.93	Professional		$2,382.89	$2,978.62	$4,467.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $947.36 / $947.36 / $2,238.46	Facility		$947.36	$947.36	$2,238.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,902.78 / $3,446.99	Professional		$1,389.03	$1,902.78	$3,446.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,356.77 / $1,679.82 / $2,245.58	Professional		$1,356.77	$1,679.82	$2,245.58