Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,781.22 / $4,781.22 / $4,781.22	Facility		$4,781.22	$4,781.22	$4,781.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,904.14 / $6,526.76 / $20,032.70	Professional		$3,904.14	$6,526.76	$20,032.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,423.18 / $4,423.18 / $4,423.18	Facility		$4,423.18	$4,423.18	$4,423.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $4,423.18 / $4,423.18	Professional		$3,228.92	$4,423.18	$4,423.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,933.72 / $8,667.15 / $13,000.72	Professional		$6,933.72	$8,667.15	$13,000.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,093.60 / $2,093.60 / $6,513.41	Facility		$2,093.60	$2,093.60	$6,513.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $4,423.18 / $8,499.06	Professional		$3,228.92	$4,423.18	$8,499.06
United Facility/Professional Professional Modifier Low / Median / High Price $2,998.38 / $3,537.70 / $4,962.60	Professional		$2,998.38	$3,537.70	$4,962.60