Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,923.45 / $1,923.45 / $1,923.45	Facility		$1,923.45	$1,923.45	$1,923.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,923.45 / $2,625.66 / $10,734.20	Professional		$1,923.45	$2,625.66	$10,734.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,861.13 / $2,861.13 / $2,861.13	Facility		$2,861.13	$2,861.13	$2,861.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,431.96 / $2,861.13 / $2,861.13	Professional		$2,431.96	$2,861.13	$2,861.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,789.37 / $3,486.72 / $5,230.08	Professional		$2,789.37	$3,486.72	$5,230.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,036.91 / $1,036.91 / $2,861.13	Facility		$1,036.91	$1,036.91	$2,861.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,431.96 / $2,861.13 / $4,086.00	Professional		$2,431.96	$2,861.13	$4,086.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,485.04 / $1,838.62 / $2,420.00	Professional		$1,485.04	$1,838.62	$2,420.00