Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna 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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $3,890.45	Professional		$1,905.46	$2,398.83	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $6,606.93	Professional		$3,090.30	$3,090.30	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,365.16 / $6,606.93	Professional		$2,630.27	$4,365.16	$6,606.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,311.31 / $4,677.35	Facility		$1,318.26	$3,311.31	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $5,370.32	Professional		$3,090.30	$3,090.30	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,570.40 / $5,495.41	Facility		$1,071.52	$2,570.40	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $3,019.95	Professional		$1,862.09	$2,290.87	$3,019.95