Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,161.17 / $2,161.17 / $2,161.17	Facility		$2,161.17	$2,161.17	$2,161.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,161.17 / $2,950.18 / $12,061.00	Professional		$2,161.17	$2,950.18	$12,061.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,214.74 / $3,214.74 / $3,214.74	Facility		$3,214.74	$3,214.74	$3,214.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $3,214.74 / $3,214.74	Professional		$2,732.53	$3,214.74	$3,214.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,134.12 / $3,917.66 / $5,876.49	Professional		$3,134.12	$3,917.66	$5,876.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,165.07 / $1,165.07 / $3,214.74	Facility		$1,165.07	$1,165.07	$3,214.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $3,214.74 / $4,591.01	Professional		$2,732.53	$3,214.74	$4,591.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,668.58 / $1,804.68 / $2,761.65	Professional		$1,668.58	$1,804.68	$2,761.65