Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,801.89 / $7,762.47	Facility		$2,691.53	$3,801.89	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $12,302.69	Professional		$2,454.71	$3,162.28	$12,302.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $4,677.35	Professional		$2,238.72	$3,019.95	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,548.13	Professional		$32.36	$33.11	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $9,332.54	Facility		$1,905.46	$2,754.23	$9,332.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $4,677.35	Professional		$2,238.72	$2,884.03	$4,677.35
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 $2,187.76 / $3,019.95 / $5,011.87	Professional		$2,187.76	$3,019.95	$5,011.87