Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,958.05 / $3,916.11 / $3,916.11	Facility		$1,958.05	$3,916.11	$3,916.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.03 / $979.03 / $979.03	Professional		$979.03	$979.03	$979.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $848.49 / $848.49 / $848.49	Facility		$848.49	$848.49	$848.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,023.32 / $2,127.75 / $2,127.75	Professional		$2,023.32	$2,127.75	$2,127.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $848.49 / $848.49 / $848.49	Facility		$848.49	$848.49	$848.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,377.17 / $1,377.17 / $1,566.44	Professional		$1,377.17	$1,377.17	$1,566.44
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $548.26 / $783.22	Professional		$548.26	$548.26	$783.22