Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,593.44 / $2,593.44 / $2,593.44	Facility		$2,593.44	$2,593.44	$2,593.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,593.44 / $3,540.27 / $17,949.30	Professional		$2,593.44	$3,540.27	$17,949.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $3,798.08	Facility		$3,798.08	$3,798.08	$3,798.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $3,798.08 / $3,798.08	Professional		$2,772.60	$3,798.08	$3,798.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,761.00 / $4,701.26 / $7,051.89	Professional		$3,761.00	$4,701.26	$7,051.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,514.15 / $1,514.15 / $3,798.08	Facility		$1,514.15	$1,514.15	$3,798.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $3,798.08 / $6,562.94	Professional		$2,772.60	$3,798.08	$6,562.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,168.52 / $2,484.23 / $3,589.10	Professional		$2,168.52	$2,484.23	$3,589.10