Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $7,762.47	Facility		$1,819.70	$1,905.46	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $6,165.95	Professional		$1,230.27	$1,584.89	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,290.87	Professional		$1,445.44	$1,819.70	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,737.80	Professional		$32.36	$33.11	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $4,570.88	Facility		$1,288.25	$1,737.80	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,290.87	Professional		$1,412.54	$1,778.28	$2,290.87
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 $1,318.26 / $1,737.80 / $2,454.71	Professional		$1,318.26	$1,737.80	$2,454.71