Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,630.78 / $7,762.47	Facility		$2,089.30	$3,630.78	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,630.27 / $6,456.54	Professional		$2,344.23	$2,630.27	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,890.45 / $8,511.38	Professional		$2,187.76	$3,890.45	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $5,888.44	Facility		$2,511.89	$3,890.45	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $6,025.60	Professional		$2,398.83	$3,981.07	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $11,220.18 / $25,703.96	Facility		$891.25	$11,220.18	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $5,248.07	Professional		$2,691.53	$3,715.35	$5,248.07