Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,958.22 / $1,958.22 / $1,958.22	Facility		$1,958.22	$1,958.22	$1,958.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,896.54 / $2,673.13 / $9,838.32	Professional		$1,896.54	$2,673.13	$9,838.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $2,425.11	Facility		$2,425.11	$2,425.11	$2,425.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $2,425.11 / $2,425.11	Professional		$1,770.33	$2,425.11	$2,425.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,839.80 / $3,549.76 / $5,324.64	Professional		$2,839.80	$3,549.76	$5,324.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,017.02 / $1,017.02 / $2,667.67	Facility		$1,017.02	$1,017.02	$2,667.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $2,425.11 / $4,159.87	Professional		$1,770.33	$2,425.11	$4,159.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,456.54 / $1,575.35 / $2,373.58	Professional		$1,456.54	$1,575.35	$2,373.58