Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,056.23 / $1,056.23 / $1,382.07	Facility		$1,056.23	$1,056.23	$1,382.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,056.23 / $1,337.96 / $2,857.78	Professional		$1,056.23	$1,337.96	$2,857.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.55 / $1,836.09 / $2,514.13	Professional		$1,174.55	$1,836.09	$2,514.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $231.62 / $1,930.20	Professional		$32.34	$231.62	$1,930.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,146.61 / $1,659.00 / $2,162.92	Facility		$1,146.61	$1,659.00	$2,162.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,327.75 / $1,962.23 / $2,797.45	Professional		$1,327.75	$1,962.23	$2,797.45
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 $1,615.67 / $2,102.66 / $3,274.01	Professional		$1,615.67	$2,102.66	$3,274.01