Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.49 / $1,316.49 / $1,614.23	Facility		$1,316.49	$1,316.49	$1,614.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,316.49 / $1,614.23 / $2,564.52	Professional		$1,316.49	$1,614.23	$2,564.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,501.12 / $2,282.56 / $3,037.18	Professional		$1,501.12	$2,282.56	$3,037.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $269.43 / $2,245.30	Professional		$32.34	$269.43	$2,245.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,425.79 / $2,060.34 / $2,688.43	Facility		$1,425.79	$2,060.34	$2,688.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.57 / $2,401.80 / $3,388.23	Professional		$1,659.57	$2,401.80	$3,388.23
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 $1,929.67 / $2,446.39 / $3,859.64	Professional		$1,929.67	$2,446.39	$3,859.64