Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $7,762.47	Facility		$2,089.30	$2,754.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $8,912.51	Professional		$1,778.28	$2,290.87	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $3,311.31	Professional		$2,089.30	$2,754.23	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,511.89	Professional		$32.36	$33.11	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $6,606.93	Facility		$1,862.09	$2,691.53	$6,606.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $3,311.31	Professional		$2,041.74	$2,570.40	$3,311.31
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 $1,995.26 / $2,691.53 / $3,548.13	Professional		$1,995.26	$2,691.53	$3,548.13