Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.92 / $1,426.92 / $1,426.92	Facility		$1,426.92	$1,426.92	$1,426.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.17 / $1,947.87 / $5,597.32	Professional		$1,165.17	$1,947.87	$5,597.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $1,254.96	Facility		$1,254.96	$1,254.96	$1,254.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $1,254.96 / $1,254.96	Professional		$916.12	$1,254.96	$1,254.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,069.32 / $2,586.65 / $3,879.97	Professional		$2,069.32	$2,586.65	$3,879.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.82 / $624.82 / $1,943.89	Facility		$624.82	$624.82	$1,943.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $1,254.96 / $2,273.42	Professional		$916.12	$1,254.96	$2,273.42
United Facility/Professional Professional Modifier Low / Median / High Price $874.75 / $967.84 / $1,481.06	Professional		$874.75	$967.84	$1,481.06