Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.99 / $2,897.99 / $2,897.99	Facility		$2,897.99	$2,897.99	$2,897.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,897.99 / $3,955.98 / $20,209.40	Professional		$2,897.99	$3,955.98	$20,209.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $3,943.38	Facility		$3,943.38	$3,943.38	$3,943.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $3,943.38 / $3,943.38	Professional		$2,878.67	$3,943.38	$3,943.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,202.64 / $5,253.31 / $7,879.96	Professional		$4,202.64	$5,253.31	$7,879.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,691.96 / $1,691.96 / $3,947.89	Facility		$1,691.96	$1,691.96	$3,947.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $3,943.38 / $6,660.98	Professional		$2,878.67	$3,943.38	$6,660.98
United Facility/Professional Professional Modifier Low / Median / High Price $2,423.16 / $3,000.11 / $4,010.55	Professional		$2,423.16	$3,000.11	$4,010.55