Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Facility		$1,427.45	$1,427.45	$1,427.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,441.72 / $1,812.86	Professional		$1,427.45	$1,441.72	$1,812.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Facility		$1,427.45	$1,427.45	$1,427.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Professional		$1,427.45	$1,427.45	$1,427.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,387.09 / $2,260.96 / $2,260.96	Professional		$1,387.09	$2,260.96	$2,260.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,570.20	Facility		$1,427.45	$1,427.45	$1,570.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,844.40	Professional		$1,427.45	$1,427.45	$1,844.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,387.09 / $1,387.09 / $1,387.09	Facility		$1,387.09	$1,387.09	$1,387.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Professional		$1,427.45	$1,427.45	$1,427.45