Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,570.40	Professional		$1,258.93	$1,584.89	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,365.16	Professional		$1,995.26	$1,995.26	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $4,365.16	Professional		$1,737.80	$2,884.03	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,187.76 / $3,090.30	Facility		$851.14	$2,187.76	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,548.13	Professional		$1,995.26	$1,995.26	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,698.24 / $3,630.78	Facility		$707.95	$1,698.24	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,995.26	Professional		$1,230.27	$1,513.56	$1,995.26