Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,524.80 / $2,524.80 / $2,524.80	Facility		$2,524.80	$2,524.80	$2,524.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,524.80 / $3,446.55 / $17,607.00	Professional		$2,524.80	$3,446.55	$17,607.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,532.34 / $3,532.34 / $3,532.34	Facility		$3,532.34	$3,532.34	$3,532.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $3,532.34 / $3,532.34	Professional		$2,578.61	$3,532.34	$3,532.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,661.45 / $4,576.82 / $6,865.23	Professional		$3,661.45	$4,576.82	$6,865.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,474.07 / $1,474.07 / $3,532.34	Facility		$1,474.07	$1,474.07	$3,532.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $3,532.34 / $5,975.52	Professional		$2,578.61	$3,532.34	$5,975.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,111.12 / $2,613.77 / $3,518.54	Professional		$2,111.12	$2,613.77	$3,518.54