Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,253.48 / $2,253.48 / $2,253.48	Facility		$2,253.48	$2,253.48	$2,253.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,194.12 / $3,076.19 / $11,442.80	Professional		$2,194.12	$3,076.19	$11,442.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,282.71 / $2,282.71 / $2,282.71	Facility		$2,282.71	$2,282.71	$2,282.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $1,666.39 / $4,993.39	Professional		$1,666.39	$1,666.39	$4,993.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,267.99 / $4,084.99 / $6,127.48	Professional		$3,267.99	$4,084.99	$6,127.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,176.59 / $1,176.59 / $3,069.90	Facility		$1,176.59	$1,176.59	$3,069.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $2,282.71 / $4,759.18	Professional		$1,666.39	$2,282.71	$4,759.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,685.08 / $1,822.54 / $2,788.97	Professional		$1,685.08	$1,822.54	$2,788.97