Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,535.72 / $1,535.72 / $1,535.72	Facility		$1,535.72	$1,535.72	$1,535.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.00 / $2,096.38 / $6,829.90	Professional		$1,254.00	$2,096.38	$6,829.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,606.19 / $1,606.19 / $1,606.19	Facility		$1,606.19	$1,606.19	$1,606.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,606.19 / $1,606.19	Professional		$1,172.52	$1,606.19	$1,606.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,227.08 / $2,783.86 / $4,175.79	Professional		$2,227.08	$2,783.86	$4,175.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $672.46 / $672.46 / $2,092.10	Facility		$672.46	$672.46	$2,092.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,606.19 / $2,733.98	Professional		$1,172.52	$1,606.19	$2,733.98
United Facility/Professional Professional Modifier Low / Median / High Price $963.07 / $1,180.38 / $1,569.07	Professional		$963.07	$1,180.38	$1,569.07