Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,265.80 / $4,265.80	Facility		$1,949.84	$4,265.80	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,548.82	Professional		$870.96	$1,047.13	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,659.59 / $3,890.45	Facility		$870.96	$1,659.59	$3,890.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,445.44	Professional		$1,380.38	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $776.25	Professional		$549.54	$549.54	$776.25