Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.92 / $1,870.92 / $1,870.92	Facility		$1,870.92	$1,870.92	$1,870.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,714.90 / $2,553.96 / $10,699.50	Professional		$1,714.90	$2,553.96	$10,699.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $1,784.15	Facility		$1,784.15	$1,784.15	$1,784.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,784.15 / $1,784.15	Professional		$1,302.43	$1,784.15	$1,784.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,713.20 / $3,391.51 / $5,087.26	Professional		$2,713.20	$3,391.51	$5,087.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $919.62 / $919.62 / $2,548.73	Facility		$919.62	$919.62	$2,548.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,784.15 / $3,974.42	Professional		$1,302.43	$1,784.15	$3,974.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,317.04 / $1,497.60 / $2,179.83	Professional		$1,317.04	$1,497.60	$2,179.83