Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,678.11 / $1,678.11 / $1,678.11	Facility		$1,678.11	$1,678.11	$1,678.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,678.11 / $2,290.75 / $9,399.85	Professional		$1,678.11	$2,290.75	$9,399.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.75 / $2,253.75 / $2,253.75	Facility		$2,253.75	$2,253.75	$2,253.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $2,253.75 / $2,253.75	Professional		$1,915.69	$2,253.75	$2,253.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,433.58 / $3,041.98 / $4,562.97	Professional		$2,433.58	$3,041.98	$4,562.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $950.61 / $950.61 / $2,286.08	Facility		$950.61	$950.61	$2,286.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $2,253.75 / $3,564.82	Professional		$1,915.69	$2,253.75	$3,564.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,361.42 / $1,472.48 / $2,218.57	Professional		$1,361.42	$1,472.48	$2,218.57