Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,510.78 / $1,510.78 / $1,510.78	Facility		$1,510.78	$1,510.78	$1,510.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.78 / $2,062.34 / $10,438.29	Professional		$1,510.78	$2,062.34	$10,438.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,711.28 / $1,711.28 / $1,711.28	Facility		$1,711.28	$1,711.28	$1,711.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,711.28 / $1,711.28	Professional		$1,249.23	$1,711.28	$1,711.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,190.92 / $2,738.66 / $4,107.99	Professional		$2,190.92	$2,738.66	$4,107.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $882.05 / $882.05 / $2,058.12	Facility		$882.05	$882.05	$2,058.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,711.28 / $3,787.86	Professional		$1,249.23	$1,711.28	$3,787.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,263.25 / $1,366.29 / $2,058.57	Professional		$1,263.25	$1,366.29	$2,058.57