Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,510.40 / $6,510.40 / $6,510.40	Facility		$6,510.40	$6,510.40	$6,510.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,324.72 / $8,887.20 / $30,415.80	Professional		$6,324.72	$8,887.20	$30,415.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,136.27 / $8,136.27 / $8,136.27	Facility		$8,136.27	$8,136.27	$8,136.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $8,136.27 / $8,136.27	Professional		$5,939.48	$8,136.27	$8,136.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,441.35 / $11,801.69 / $17,702.53	Professional		$9,441.35	$11,801.69	$17,702.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,391.63 / $3,391.63 / $8,869.04	Facility		$3,391.63	$3,391.63	$8,869.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $8,136.27 / $13,830.11	Professional		$5,939.48	$8,136.27	$13,830.11
United Facility/Professional Professional Modifier Low / Median / High Price $4,857.38 / $5,306.74 / $7,915.56	Professional		$4,857.38	$5,306.74	$7,915.56