Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,108.94 / $2,108.94 / $2,108.94	Facility		$2,108.94	$2,108.94	$2,108.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,108.94 / $2,878.88 / $14,707.00	Professional		$2,108.94	$2,878.88	$14,707.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,297.39 / $3,297.39 / $3,297.39	Facility		$3,297.39	$3,297.39	$3,297.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $3,297.39 / $3,297.39	Professional		$2,407.09	$3,297.39	$3,297.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,058.38 / $3,822.98 / $5,734.47	Professional		$3,058.38	$3,822.98	$5,734.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,231.29 / $1,231.29 / $3,297.39	Facility		$1,231.29	$1,231.29	$3,297.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $3,297.39 / $5,336.87	Professional		$2,407.09	$3,297.39	$5,336.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,332.71 / $4,332.71 / $5,097.31	Facility		$4,332.71	$4,332.71	$5,097.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,763.40 / $2,183.27 / $2,939.00	Professional		$1,763.40	$2,183.27	$2,939.00