Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,059.76 / $2,059.76 / $2,059.76	Facility		$2,059.76	$2,059.76	$2,059.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,059.76 / $2,811.74 / $11,872.60	Professional		$2,059.76	$2,811.74	$11,872.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $2,970.85	Facility		$2,970.85	$2,970.85	$2,970.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,970.85 / $2,970.85	Professional		$2,168.71	$2,970.85	$2,970.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,987.04 / $3,733.81 / $5,600.71	Professional		$2,987.04	$3,733.81	$5,600.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,192.80 / $1,192.80 / $2,970.85	Facility		$1,192.80	$1,192.80	$2,970.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,970.85 / $4,466.95	Professional		$2,168.71	$2,970.85	$4,466.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,708.28 / $1,847.62 / $2,783.19	Professional		$1,708.28	$1,847.62	$2,783.19