Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,309.57 / $6,309.57	Facility		$2,818.38	$6,309.57	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $3,630.78	Professional		$1,318.26	$1,548.82	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $5,623.41	Facility		$1,258.93	$2,398.83	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,089.30 / $2,754.23	Professional		$1,995.26	$2,089.30	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,148.15	Professional		$794.33	$794.33	$1,148.15