Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,890.45 / $7,762.47	Facility		$2,089.30	$3,890.45	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $5,011.87	Professional		$2,238.72	$2,754.23	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $4,677.35	Professional		$2,818.38	$3,467.37	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $776.25 / $4,168.69	Professional		$32.36	$776.25	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $4,073.80	Facility		$2,344.23	$3,388.44	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $4,677.35	Professional		$2,818.38	$3,467.37	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,265.80 / $8,912.51	Facility		$562.34	$4,265.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $4,786.30	Professional		$2,884.03	$3,890.45	$4,786.30