Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.13 / $1,031.13 / $1,031.13	Facility		$1,031.13	$1,031.13	$1,031.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.13 / $1,407.57 / $5,635.31	Professional		$1,031.13	$1,407.57	$5,635.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,316.65 / $1,316.65 / $1,316.65	Facility		$1,316.65	$1,316.65	$1,316.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $1,316.65 / $1,316.65	Professional		$961.15	$1,316.65	$1,316.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,495.33 / $1,869.17 / $2,803.75	Professional		$1,495.33	$1,869.17	$2,803.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.38 / $572.38 / $1,404.70	Facility		$572.38	$572.38	$1,404.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $1,316.65 / $2,190.42	Professional		$961.15	$1,316.65	$2,190.42
United Facility/Professional Professional Modifier Low / Median / High Price $819.74 / $886.60 / $1,335.84	Professional		$819.74	$886.60	$1,335.84