Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $12,882.50 / $12,882.50	Facility		$5,754.40	$12,882.50	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $4,677.35	Professional		$2,691.53	$3,162.28	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $8,317.64	Professional		$6,025.60	$6,025.60	$8,317.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,011.87 / $11,481.54	Facility		$2,570.40	$5,011.87	$11,481.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,265.80 / $5,623.41	Professional		$4,073.80	$4,265.80	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,344.23	Professional		$1,621.81	$1,621.81	$2,344.23