Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $8,709.64	Facility		$1,862.09	$2,089.30	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $2,187.76	Professional		$977.24	$1,122.02	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $3,801.89	Professional		$933.25	$1,513.56	$3,801.89
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 $1,047.13 / $1,348.96 / $2,137.96	Facility		$1,047.13	$1,348.96	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,630.27	Professional		$1,047.13	$1,621.81	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $15,135.61 / $31,622.78	Facility		$1,023.29	$15,135.61	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,187.76	Professional		$1,047.13	$1,513.56	$2,187.76