Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,291.94 / $1,291.94 / $1,291.94	Facility		$1,291.94	$1,291.94	$1,291.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,250.20 / $1,763.60 / $6,560.17	Professional		$1,250.20	$1,763.60	$6,560.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,800.00 / $1,800.00	Professional		$1,530.00	$1,800.00	$1,800.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,873.56 / $2,341.96 / $3,512.94	Professional		$1,873.56	$2,341.96	$3,512.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $670.42 / $670.42 / $1,800.00	Facility		$670.42	$670.42	$1,800.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,800.00 / $2,664.49	Professional		$1,530.00	$1,800.00	$2,664.49
United Facility/Professional Professional Modifier Low / Median / High Price $960.15 / $1,038.47 / $1,589.14	Professional		$960.15	$1,038.47	$1,589.14