Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,114.90 / $2,114.90 / $2,114.90	Facility		$2,114.90	$2,114.90	$2,114.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,114.90 / $2,887.01 / $14,011.70	Professional		$2,114.90	$2,887.01	$14,011.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,141.52 / $3,141.52 / $3,141.52	Facility		$3,141.52	$3,141.52	$3,141.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $3,141.52 / $3,141.52	Professional		$2,293.31	$3,141.52	$3,141.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,067.02 / $3,833.78 / $5,750.67	Professional		$3,067.02	$3,833.78	$5,750.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,173.07 / $1,173.07 / $3,141.52	Facility		$1,173.07	$1,173.07	$3,141.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $3,141.52 / $4,847.08	Professional		$2,293.31	$3,141.52	$4,847.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,680.04 / $1,817.08 / $2,780.62	Professional		$1,680.04	$1,817.08	$2,780.62