Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.86 / $1,368.86 / $1,718.65	Facility		$1,368.86	$1,368.86	$1,718.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.86 / $1,718.65 / $3,493.73	Professional		$1,368.86	$1,718.65	$3,493.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,523.56 / $2,357.34 / $3,150.82	Professional		$1,523.56	$2,357.34	$3,150.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $283.17 / $2,359.78	Professional		$32.34	$283.17	$2,359.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,463.86 / $2,075.07 / $2,772.42	Facility		$1,463.86	$2,075.07	$2,772.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,722.29 / $2,461.00 / $3,505.71	Professional		$1,722.29	$2,461.00	$3,505.71
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $11,259.00 / $16,897.00	Facility		$899.00	$11,259.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,033.67 / $2,740.51 / $4,037.04	Professional		$2,033.67	$2,740.51	$4,037.04