Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $4,073.80	Professional		$1,659.59	$2,187.76	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $7,079.46	Professional		$2,290.87	$2,290.87	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $5,754.40	Professional		$3,090.30	$3,801.89	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,884.03 / $4,897.79	Facility		$1,174.90	$2,884.03	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $5,495.41	Professional		$2,290.87	$2,290.87	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $4,897.79	Facility		$1,412.54	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,754.23	Professional		$1,698.24	$2,089.30	$2,754.23