Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,586.38 / $5,586.38 / $5,586.38	Facility		$5,586.38	$5,586.38	$5,586.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,586.38 / $7,625.85 / $29,785.70	Professional		$5,586.38	$7,625.85	$29,785.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,687.89 / $5,687.89 / $5,687.89	Facility		$5,687.89	$5,687.89	$5,687.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,834.71 / $5,687.89 / $5,687.89	Professional		$4,834.71	$5,687.89	$5,687.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,101.33 / $10,126.67 / $15,190.00	Professional		$8,101.33	$10,126.67	$15,190.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,687.89 / $6,667.01 / $6,667.01	Facility		$5,687.89	$6,667.01	$6,667.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,834.71 / $5,687.89 / $11,867.20	Professional		$4,834.71	$5,687.89	$11,867.20
United Facility/Professional Professional Modifier Low / Median / High Price $4,274.64 / $5,198.43 / $7,124.41	Professional		$4,274.64	$5,198.43	$7,124.41