Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,457.41 / $2,914.81 / $5,829.63	Facility		$1,457.41	$2,914.81	$5,829.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,457.41 / $1,457.41 / $1,457.41	Professional		$1,457.41	$1,457.41	$1,457.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.08 / $1,263.08 / $1,263.08	Facility		$1,263.08	$1,263.08	$1,263.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,011.98 / $3,167.43 / $3,167.43	Professional		$3,011.98	$3,167.43	$3,167.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,263.08 / $1,263.08 / $2,448.44	Facility		$1,263.08	$1,263.08	$2,448.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,050.09 / $2,050.09 / $2,331.85	Professional		$2,050.09	$2,050.09	$2,331.85
United Facility/Professional Professional Modifier Low / Median / High Price $816.15 / $816.15 / $1,165.93	Professional		$816.15	$816.15	$1,165.93