Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,365.16 / $4,365.16	Facility		$1,995.26	$4,365.16	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,584.89	Professional		$891.25	$1,071.52	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,884.03	Professional		$2,089.30	$2,089.30	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,698.24 / $3,981.07	Facility		$891.25	$1,698.24	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $1,479.11	Professional		$1,412.54	$1,479.11	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $794.33	Professional		$562.34	$562.34	$794.33