Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,630.78	Professional		$1,513.56	$2,041.74	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $6,309.57	Professional		$2,041.74	$2,041.74	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $5,370.32	Professional		$2,884.03	$3,630.78	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,691.53 / $4,073.80	Facility		$1,096.48	$2,691.53	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $5,011.87	Professional		$2,041.74	$2,041.74	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,570.40 / $4,570.88	Facility		$1,318.26	$2,570.40	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,570.40	Professional		$1,548.82	$1,949.84	$2,570.40