Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,897.79 / $7,762.47	Facility		$2,089.30	$4,897.79	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $6,025.60	Professional		$2,754.23	$3,235.94	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $10,964.78	Professional		$2,511.89	$4,466.84	$10,964.78
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 $3,162.28 / $4,265.80 / $6,309.57	Facility		$3,162.28	$4,265.80	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $7,585.78	Professional		$2,951.21	$4,570.88	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $11,220.18 / $31,622.78	Facility		$891.25	$11,220.18	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,466.84 / $6,456.54	Professional		$3,311.31	$4,466.84	$6,456.54