Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,011.87 / $5,011.87	Facility		$2,290.87	$5,011.87	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,905.46	Professional		$1,071.52	$1,412.54	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,235.94	Professional		$2,344.23	$2,344.23	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,905.46 / $4,466.84	Facility		$1,023.29	$1,905.46	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $1,659.59	Professional		$1,584.89	$1,659.59	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $912.01	Professional		$630.96	$630.96	$912.01