Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,241.81 / $5,241.81 / $5,241.81	Facility		$5,241.81	$5,241.81	$5,241.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,280.22 / $7,155.49 / $20,732.00	Professional		$4,280.22	$7,155.49	$20,732.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,938.58 / $4,938.58 / $4,938.58	Facility		$4,938.58	$4,938.58	$4,938.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,605.16 / $4,938.58 / $4,938.58	Professional		$3,605.16	$4,938.58	$4,938.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,601.64 / $9,502.06 / $14,253.09	Professional		$7,601.64	$9,502.06	$14,253.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,295.27 / $2,295.27 / $7,140.85	Facility		$2,295.27	$2,295.27	$7,140.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,605.16 / $4,938.58 / $9,021.04	Professional		$3,605.16	$4,938.58	$9,021.04
United Facility/Professional Professional Modifier Low / Median / High Price $3,287.21 / $3,555.35 / $5,356.83	Professional		$3,287.21	$3,555.35	$5,356.83