Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,090.79 / $2,090.79 / $2,090.79	Facility		$2,090.79	$2,090.79	$2,090.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,035.43 / $2,854.10 / $10,616.60	Professional		$2,035.43	$2,854.10	$10,616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,677.88 / $2,677.88 / $2,677.88	Facility		$2,677.88	$2,677.88	$2,677.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,954.85 / $2,677.88 / $2,677.88	Professional		$1,954.85	$2,677.88	$2,677.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,032.05 / $3,790.07 / $5,685.10	Professional		$3,032.05	$3,790.07	$5,685.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,091.50 / $1,091.50 / $2,848.26	Facility		$1,091.50	$1,091.50	$2,848.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,954.85 / $2,677.88 / $4,441.49	Professional		$1,954.85	$2,677.88	$4,441.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,563.21 / $1,690.72 / $2,587.26	Professional		$1,563.21	$1,690.72	$2,587.26