Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,442.90 / $12,442.90 / $12,442.90	Facility		$12,442.90	$12,442.90	$12,442.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,037.88 / $16,985.55 / $63,182.40	Professional		$12,037.88	$16,985.55	$63,182.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,513.81 / $14,513.81 / $14,513.81	Facility		$14,513.81	$14,513.81	$14,513.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,595.08 / $14,513.81 / $14,513.81	Professional		$10,595.08	$14,513.81	$14,513.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $18,044.63 / $22,555.79 / $33,833.68	Professional		$18,044.63	$22,555.79	$33,833.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,455.32 / $6,455.32 / $16,950.81	Facility		$6,455.32	$6,455.32	$16,950.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $10,595.08 / $14,513.81 / $25,662.30	Professional		$10,595.08	$14,513.81	$25,662.30
United Facility/Professional Professional Modifier Low / Median / High Price $9,245.09 / $11,446.32 / $15,065.75	Professional		$9,245.09	$11,446.32	$15,065.75