Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $3,162.28	Facility		$1,412.54	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,148.15	Professional		$660.69	$776.25	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,230.27 / $2,818.38	Facility		$630.96	$1,230.27	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,380.38	Professional		$954.99	$1,047.13	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $575.44	Professional		$398.11	$398.11	$575.44