Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $7,762.47	Facility		$2,089.30	$2,187.76	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $7,079.46	Professional		$1,412.54	$1,819.70	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $2,754.23	Professional		$1,778.28	$2,344.23	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $5,495.41	Facility		$1,584.89	$2,344.23	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,754.23	Professional		$1,698.24	$2,187.76	$2,754.23
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 $1,659.59 / $2,344.23 / $2,951.21	Professional		$1,659.59	$2,344.23	$2,951.21