Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,685.90 / $8,685.90 / $8,685.90	Facility		$8,685.90	$8,685.90	$8,685.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,609.73 / $11,856.94 / $41,360.30	Professional		$8,609.73	$11,856.94	$41,360.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,418.01 / $9,418.01 / $9,418.01	Facility		$9,418.01	$9,418.01	$9,418.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $9,418.01 / $9,418.01	Professional		$6,875.15	$9,418.01	$9,418.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $12,596.24 / $15,745.30 / $23,617.95	Professional		$12,596.24	$15,745.30	$23,617.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,616.97 / $4,616.97 / $11,832.69	Facility		$4,616.97	$4,616.97	$11,832.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $9,418.01 / $16,798.97	Professional		$6,875.15	$9,418.01	$16,798.97
United Facility/Professional Professional Modifier Low / Median / High Price $6,612.27 / $7,151.63 / $10,775.32	Professional		$6,612.27	$7,151.63	$10,775.32