Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,634.02 / $2,634.02 / $2,634.02	Facility		$2,634.02	$2,634.02	$2,634.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,634.02 / $3,595.65 / $17,202.40	Professional		$2,634.02	$3,595.65	$17,202.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,813.78 / $3,813.78 / $3,813.78	Facility		$3,813.78	$3,813.78	$3,813.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $3,813.78 / $3,813.78	Professional		$2,784.06	$3,813.78	$3,813.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,819.84 / $4,774.81 / $7,162.21	Professional		$3,819.84	$4,774.81	$7,162.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,440.20 / $1,440.20 / $3,813.78	Facility		$1,440.20	$1,440.20	$3,813.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $3,813.78 / $5,839.27	Professional		$2,784.06	$3,813.78	$5,839.27
United Facility/Professional Professional Modifier Low / Median / High Price $2,062.61 / $2,553.71 / $3,361.22	Professional		$2,062.61	$2,553.71	$3,361.22