Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,370.32 / $7,762.47	Facility		$3,801.89	$5,370.32	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $17,378.01	Professional		$3,467.37	$4,073.80	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,370.32 / $6,606.93	Professional		$4,168.69	$5,370.32	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $5,011.87	Professional		$32.36	$33.11	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,888.44 / $13,182.57	Facility		$5,248.07	$5,888.44	$13,182.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $6,606.93	Professional		$4,073.80	$5,128.61	$6,606.93
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 $4,073.80 / $5,370.32 / $7,079.46	Professional		$4,073.80	$5,370.32	$7,079.46