Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,531.36 / $1,531.36 / $1,531.36	Facility		$1,531.36	$1,531.36	$1,531.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,481.52 / $2,090.42 / $7,775.96	Professional		$1,481.52	$2,090.42	$7,775.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $1,786.24	Facility		$1,786.24	$1,786.24	$1,786.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,786.24 / $1,786.24	Professional		$1,303.96	$1,786.24	$1,786.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,220.76 / $2,775.96 / $4,163.93	Professional		$2,220.76	$2,775.96	$4,163.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.47 / $794.47 / $2,086.15	Facility		$794.47	$794.47	$2,086.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,786.24 / $3,158.29	Professional		$1,303.96	$1,786.24	$3,158.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,137.80 / $1,344.55 / $1,883.18	Professional		$1,137.80	$1,344.55	$1,883.18