Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,513.30 / $3,513.30 / $3,513.30	Facility		$3,513.30	$3,513.30	$3,513.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,438.30 / $4,795.93 / $18,732.30	Professional		$3,438.30	$4,795.93	$18,732.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,799.01 / $3,799.01 / $3,799.01	Facility		$3,799.01	$3,799.01	$3,799.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,799.01 / $3,799.01	Professional		$3,229.16	$3,799.01	$3,799.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,094.97 / $6,368.72 / $9,553.08	Professional		$5,094.97	$6,368.72	$9,553.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,843.79 / $1,843.79 / $4,786.14	Facility		$1,843.79	$1,843.79	$4,786.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,799.01 / $7,463.34	Professional		$3,229.16	$3,799.01	$7,463.34
United Facility/Professional Professional Modifier Low / Median / High Price $2,640.61 / $2,874.88 / $4,370.46	Professional		$2,640.61	$2,874.88	$4,370.46