Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,564.71 / $8,564.71 / $8,564.71	Facility		$8,564.71	$8,564.71	$8,564.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,564.71 / $11,691.53 / $44,252.30	Professional		$8,564.71	$11,691.53	$44,252.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,907.40 / $9,907.40 / $9,907.40	Facility		$9,907.40	$9,907.40	$9,907.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,232.40 / $9,907.40 / $9,907.40	Professional		$7,232.40	$9,907.40	$9,907.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $12,420.52 / $15,525.65 / $23,288.47	Professional		$12,420.52	$15,525.65	$23,288.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,656.56 / $4,656.56 / $11,667.63	Facility		$4,656.56	$4,656.56	$11,667.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,232.40 / $9,907.40 / $18,194.12	Professional		$7,232.40	$9,907.40	$18,194.12
United Facility/Professional Professional Modifier Low / Median / High Price $6,668.97 / $7,212.96 / $10,867.72	Professional		$6,668.97	$7,212.96	$10,867.72