Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,730.09 / $5,730.09 / $5,730.09	Facility		$5,730.09	$5,730.09	$5,730.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,658.08 / $7,822.03 / $27,910.20	Professional		$5,658.08	$7,822.03	$27,910.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,503.37 / $7,503.37 / $7,503.37	Facility		$7,503.37	$7,503.37	$7,503.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,477.46 / $7,503.37 / $7,503.37	Professional		$5,477.46	$7,503.37	$7,503.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,309.74 / $10,387.18 / $15,580.77	Professional		$8,309.74	$10,387.18	$15,580.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,034.15 / $3,034.15 / $7,806.03	Facility		$3,034.15	$3,034.15	$7,806.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,477.46 / $7,503.37 / $12,172.48	Professional		$5,477.46	$7,503.37	$12,172.48
United Facility/Professional Professional Modifier Low / Median / High Price $4,345.39 / $4,838.89 / $7,081.25	Professional		$4,345.39	$4,838.89	$7,081.25