Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,854.22 / $1,854.22 / $1,854.22	Facility		$1,854.22	$1,854.22	$1,854.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.35 / $2,531.16 / $10,308.20	Professional		$1,609.35	$2,531.16	$10,308.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $2,283.76	Facility		$2,283.76	$2,283.76	$2,283.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $2,283.76 / $2,283.76	Professional		$1,667.14	$2,283.76	$2,283.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,688.98 / $3,361.23 / $5,041.84	Professional		$2,688.98	$3,361.23	$5,041.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $863.01 / $863.01 / $2,525.98	Facility		$863.01	$863.01	$2,525.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $2,283.76 / $3,938.69	Professional		$1,667.14	$2,283.76	$3,938.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.98 / $1,336.80 / $2,059.96	Professional		$1,235.98	$1,336.80	$2,059.96