Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,099.56 / $3,099.56 / $3,099.56	Facility		$3,099.56	$3,099.56	$3,099.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,530.96 / $4,231.14 / $12,158.50	Professional		$2,530.96	$4,231.14	$12,158.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $2,741.63	Facility		$2,741.63	$2,741.63	$2,741.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,741.63 / $2,741.63	Professional		$2,001.39	$2,741.63	$2,741.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,494.95 / $5,618.69 / $8,428.03	Professional		$4,494.95	$5,618.69	$8,428.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,357.23 / $1,357.23 / $4,222.47	Facility		$1,357.23	$1,357.23	$4,222.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,741.63 / $5,307.11	Professional		$2,001.39	$2,741.63	$5,307.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,943.77 / $2,102.33 / $3,167.57	Professional		$1,943.77	$2,102.33	$3,167.57