Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $2,090.00 / $2,090.00	Facility		$2,090.00	$2,090.00	$2,090.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,826.00 / $2,090.00	Professional		$1,760.00	$1,826.00	$2,090.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $1,870.00 / $2,200.00	Facility		$1,760.00	$1,870.00	$2,200.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $2,750.00	Professional		$1,870.00	$1,870.00	$2,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,200.00	Professional		$2,200.00	$2,200.00	$2,200.00