Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $7,762.47	Facility		$2,630.27	$3,715.35	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $12,022.64	Professional		$2,398.83	$3,090.30	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,715.35 / $4,677.35	Professional		$2,951.21	$3,715.35	$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 $2,884.03 / $3,801.89 / $9,120.11	Facility		$2,884.03	$3,801.89	$9,120.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,677.35	Professional		$2,818.38	$3,715.35	$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 $2,691.53 / $3,548.13 / $4,897.79	Professional		$2,691.53	$3,548.13	$4,897.79