Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.63 / $1,733.63 / $1,733.63	Facility		$1,733.63	$1,733.63	$1,733.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,733.63 / $2,366.55 / $11,952.90	Professional		$1,733.63	$2,366.55	$11,952.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $2,479.82	Facility		$2,479.82	$2,479.82	$2,479.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $2,479.82 / $2,479.82	Professional		$1,810.27	$2,479.82	$2,479.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,514.11 / $3,142.64 / $4,713.96	Professional		$2,514.11	$3,142.64	$4,713.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.71 / $1,000.71 / $2,479.82	Facility		$1,000.71	$1,000.71	$2,479.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $2,479.82 / $4,337.47	Professional		$1,810.27	$2,479.82	$4,337.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,433.18 / $1,550.09 / $2,372.06	Professional		$1,433.18	$1,550.09	$2,372.06