Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $3,496.00 / $3,496.00	Facility		$3,496.00	$3,496.00	$3,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,944.00 / $3,054.40 / $3,496.00	Professional		$2,944.00	$3,054.40	$3,496.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Facility		$3,128.00	$3,128.00	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $2,980.80 / $3,128.00	Facility		$530.00	$2,980.80	$3,128.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $625.00 / $3,128.00 / $3,128.00	Professional		$625.00	$3,128.00	$3,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,200.00	Professional		$3,200.00	$3,200.00	$3,200.00