Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,728.93 / $1,728.93 / $1,728.93	Facility		$1,728.93	$1,728.93	$1,728.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.93 / $2,360.12 / $9,648.82	Professional		$1,728.93	$2,360.12	$9,648.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.29 / $1,808.29 / $1,808.29	Facility		$1,808.29	$1,808.29	$1,808.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.05 / $1,537.05 / $3,984.54	Professional		$1,537.05	$1,537.05	$3,984.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,507.28 / $3,134.11 / $4,701.16	Professional		$2,507.28	$3,134.11	$4,701.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $932.06 / $932.06 / $2,355.30	Facility		$932.06	$932.06	$2,355.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,537.05 / $1,808.29 / $3,740.45	Professional		$1,537.05	$1,808.29	$3,740.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,334.86 / $1,443.74 / $2,209.32	Professional		$1,334.86	$1,443.74	$2,209.32