Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,764.67 / $1,764.67 / $1,764.67	Facility		$1,764.67	$1,764.67	$1,764.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,507.96 / $2,408.92 / $8,336.08	Professional		$1,507.96	$2,408.92	$8,336.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $2,119.51	Facility		$2,119.51	$2,119.51	$2,119.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $2,119.51 / $2,119.51	Professional		$1,547.24	$2,119.51	$2,119.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,559.11 / $3,198.89 / $4,798.33	Professional		$2,559.11	$3,198.89	$4,798.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $808.65 / $808.65 / $2,403.98	Facility		$808.65	$808.65	$2,403.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $2,119.51 / $3,446.44	Professional		$1,547.24	$2,119.51	$3,446.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,158.10 / $1,252.58 / $1,886.84	Professional		$1,158.10	$1,252.58	$1,886.84