Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.73 / $1,640.73 / $1,640.73	Facility		$1,640.73	$1,640.73	$1,640.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.73 / $2,239.71 / $10,986.90	Professional		$1,640.73	$2,239.71	$10,986.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $2,050.41	Facility		$2,050.41	$2,050.41	$2,050.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $3,575.51	Professional		$1,496.80	$1,496.80	$3,575.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,379.37 / $2,974.22 / $4,461.33	Professional		$2,379.37	$2,974.22	$4,461.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $919.83 / $919.83 / $2,235.14	Facility		$919.83	$919.83	$2,235.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $2,050.41 / $3,638.54	Professional		$1,496.80	$2,050.41	$3,638.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,317.35 / $1,631.02 / $2,180.34	Professional		$1,317.35	$1,631.02	$2,180.34