Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.01 / $1,088.01 / $1,088.01	Facility		$1,088.01	$1,088.01	$1,088.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.01 / $1,485.22 / $6,188.81	Professional		$1,088.01	$1,485.22	$6,188.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $1,576.65	Facility		$1,576.65	$1,576.65	$1,576.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,576.65 / $1,576.65	Professional		$1,150.95	$1,576.65	$1,576.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,577.83 / $1,972.29 / $2,958.43	Professional		$1,577.83	$1,972.29	$2,958.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.26 / $604.26 / $1,576.65	Facility		$604.26	$604.26	$1,576.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,576.65 / $2,311.27	Professional		$1,150.95	$1,576.65	$2,311.27
United Facility/Professional Professional Modifier Low / Median / High Price $865.41 / $1,071.46 / $1,432.33	Professional		$865.41	$1,071.46	$1,432.33