Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,076.23 / $2,076.23 / $2,076.23	Facility		$2,076.23	$2,076.23	$2,076.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,008.64 / $2,834.22 / $10,542.60	Professional		$2,008.64	$2,834.22	$10,542.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.80 / $2,264.80 / $2,264.80	Facility		$2,264.80	$2,264.80	$2,264.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $2,264.80 / $2,264.80	Professional		$1,653.30	$2,264.80	$2,264.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,399.04 / $2,399.04 / $2,399.04	Professional		$2,399.04	$2,399.04	$2,399.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,077.14 / $1,077.14 / $2,828.42	Facility		$1,077.14	$1,077.14	$2,828.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $2,264.80 / $4,282.02	Professional		$1,653.30	$2,264.80	$4,282.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,542.64 / $1,668.47 / $2,553.21	Professional		$1,542.64	$1,668.47	$2,553.21