Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,852.03 / $4,852.03 / $4,852.03	Facility		$4,852.03	$4,852.03	$4,852.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,810.89 / $6,623.41 / $25,818.80	Professional		$4,810.89	$6,623.41	$25,818.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,541.83 / $6,541.83 / $6,541.83	Facility		$6,541.83	$6,541.83	$6,541.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $6,541.83 / $6,541.83	Professional		$4,775.54	$6,541.83	$6,541.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,036.38 / $8,795.48 / $13,193.22	Professional		$7,036.38	$8,795.48	$13,193.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,579.84 / $2,579.84 / $6,609.86	Facility		$2,579.84	$2,579.84	$6,609.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $6,541.83 / $10,307.20	Professional		$4,775.54	$6,541.83	$10,307.20
United Facility/Professional Facility Modifier Low / Median / High Price $9,078.09 / $9,078.09 / $10,680.11	Facility		$9,078.09	$9,078.09	$10,680.11
United Facility/Professional Professional Modifier Low / Median / High Price $3,611.78 / $3,996.14 / $6,115.18	Professional		$3,611.78	$3,996.14	$6,115.18