Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,378.92 / $1,378.92 / $1,378.92	Facility		$1,378.92	$1,378.92	$1,378.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,367.87 / $1,882.33 / $8,761.51	Professional		$1,367.87	$1,882.33	$8,761.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,654.54 / $1,654.54 / $1,654.54	Facility		$1,654.54	$1,654.54	$1,654.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,654.54 / $1,654.54	Professional		$1,207.81	$1,654.54	$1,654.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,999.69 / $2,499.62 / $3,749.43	Professional		$1,999.69	$2,499.62	$3,749.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.52 / $733.52 / $1,878.48	Facility		$733.52	$733.52	$1,878.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,654.54 / $3,094.19	Professional		$1,207.81	$1,654.54	$3,094.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.53 / $1,300.66 / $1,750.88	Professional		$1,050.53	$1,300.66	$1,750.88