Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $7,762.47	Facility		$2,089.30	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $8,128.31	Professional		$1,621.81	$2,089.30	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $3,090.30	Professional		$1,949.84	$2,511.89	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,344.23	Professional		$32.36	$33.11	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $6,165.95	Facility		$1,584.89	$2,398.83	$6,165.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,090.30	Professional		$1,905.46	$2,344.23	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,311.31	Professional		$1,778.28	$2,398.83	$3,311.31