Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,679.85 / $2,679.85 / $2,679.85	Facility		$2,679.85	$2,679.85	$2,679.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,679.85 / $3,658.21 / $14,955.60	Professional		$2,679.85	$3,658.21	$14,955.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.84 / $2,802.84 / $2,802.84	Facility		$2,802.84	$2,802.84	$2,802.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,382.41 / $2,802.84 / $2,802.84	Professional		$2,382.41	$2,802.84	$2,802.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,886.30 / $4,857.88 / $7,286.82	Professional		$3,886.30	$4,857.88	$7,286.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,444.68 / $1,444.68 / $3,650.73	Facility		$1,444.68	$1,444.68	$3,650.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,382.41 / $2,802.84 / $5,692.82	Professional		$2,382.41	$2,802.84	$5,692.82
United Facility/Professional Professional Modifier Low / Median / High Price $2,069.03 / $2,237.80 / $3,424.44	Professional		$2,069.03	$2,237.80	$3,424.44