Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,754.40 / $5,754.40	Facility		$2,630.27	$5,754.40	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $2,089.30	Professional		$1,174.90	$1,348.96	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,715.35	Professional		$2,691.53	$2,691.53	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $5,128.61	Facility		$1,174.90	$2,187.76	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $1,905.46	Professional		$1,819.70	$1,905.46	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,047.13	Professional		$724.44	$724.44	$1,047.13