Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,717.44 / $12,717.44 / $12,717.44	Facility		$12,717.44	$12,717.44	$12,717.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,513.83 / $17,360.31 / $54,415.80	Professional		$10,513.83	$17,360.31	$54,415.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,562.99 / $12,562.99 / $12,562.99	Facility		$12,562.99	$12,562.99	$12,562.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,170.98 / $12,562.99 / $12,562.99	Professional		$9,170.98	$12,562.99	$12,562.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $18,442.76 / $23,053.46 / $34,580.19	Professional		$18,442.76	$23,053.46	$34,580.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,638.05 / $5,638.05 / $17,324.81	Facility		$5,638.05	$5,638.05	$17,324.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $9,170.98 / $12,562.99 / $20,514.18	Professional		$9,170.98	$12,562.99	$20,514.18
United Facility/Professional Professional Modifier Low / Median / High Price $8,074.63 / $8,733.27 / $13,158.36	Professional		$8,074.63	$8,733.27	$13,158.36