Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,995.26 / $7,762.47	Facility		$1,949.84	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $6,456.54	Professional		$1,288.25	$1,659.59	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,454.71	Professional		$1,412.54	$1,862.09	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,862.09	Professional		$32.36	$33.11	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $4,897.79	Facility		$1,348.96	$1,778.28	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,454.71	Professional		$1,412.54	$1,819.70	$2,454.71
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 $1,412.54 / $1,949.84 / $2,630.27	Professional		$1,412.54	$1,949.84	$2,630.27