Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $7,762.47	Facility		$2,089.30	$2,238.72	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $7,244.36	Professional		$1,445.44	$1,862.09	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,691.53	Professional		$1,698.24	$2,238.72	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,041.74	Professional		$32.36	$33.11	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $5,370.32	Facility		$1,380.38	$2,089.30	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,691.53	Professional		$1,659.59	$2,089.30	$2,691.53
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 $1,548.82 / $2,089.30 / $2,884.03	Professional		$1,548.82	$2,089.30	$2,884.03