Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.40 / $1,222.40 / $1,578.09	Facility		$1,222.40	$1,222.40	$1,578.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.40 / $1,549.59 / $3,263.06	Professional		$1,222.40	$1,549.59	$3,263.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,396.93 / $2,129.19 / $2,966.04	Professional		$1,396.93	$2,129.19	$2,966.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $264.63 / $2,205.29	Professional		$32.34	$264.63	$2,205.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,326.05 / $1,901.18 / $2,476.98	Facility		$1,326.05	$1,901.18	$2,476.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,530.41 / $2,241.88 / $3,237.07	Professional		$1,530.41	$2,241.88	$3,237.07
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 $1,855.88 / $2,437.90 / $3,747.87	Professional		$1,855.88	$2,437.90	$3,747.87