Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.30 / $2,278.59 / $4,557.18	Facility		$1,139.30	$2,278.59	$4,557.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.30 / $1,822.87 / $1,822.87	Professional		$1,139.30	$1,822.87	$1,822.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $987.39 / $987.39 / $987.39	Facility		$987.39	$987.39	$987.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,354.54 / $2,476.07 / $2,476.07	Professional		$2,354.54	$2,476.07	$2,476.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $987.39 / $987.39 / $1,914.02	Facility		$987.39	$987.39	$1,914.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,602.61 / $1,602.61 / $1,822.87	Professional		$1,602.61	$1,602.61	$1,822.87
United Facility/Professional Professional Modifier Low / Median / High Price $638.01 / $638.01 / $911.44	Professional		$638.01	$638.01	$911.44