Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,411.13 / $2,411.13 / $2,411.13	Facility		$2,411.13	$2,411.13	$2,411.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,411.13 / $3,291.38 / $15,376.50	Professional		$2,411.13	$3,291.38	$15,376.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,523.90 / $3,523.90 / $3,523.90	Facility		$3,523.90	$3,523.90	$3,523.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $3,523.90 / $3,523.90	Professional		$2,572.44	$3,523.90	$3,523.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,496.60 / $4,370.76 / $6,556.14	Professional		$3,496.60	$4,370.76	$6,556.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,407.71 / $1,407.71 / $3,523.90	Facility		$1,407.71	$1,407.71	$3,523.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $3,523.90 / $5,577.00	Professional		$2,572.44	$3,523.90	$5,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.07 / $2,180.52 / $3,285.38	Professional		$2,016.07	$2,180.52	$3,285.38