Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,456.54 / $6,456.54	Facility		$2,884.03	$6,456.54	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,344.23	Professional		$1,288.25	$1,584.89	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,168.69	Professional		$3,019.95	$3,019.95	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $5,754.40	Facility		$1,288.25	$2,454.71	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $2,137.96	Professional		$2,041.74	$2,137.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,174.90	Professional		$812.83	$812.83	$1,174.90