Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $7,762.47	Facility		$2,089.30	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $9,332.54	Professional		$1,862.09	$2,398.83	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $3,630.78	Professional		$2,344.23	$3,090.30	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,754.23	Professional		$32.36	$33.11	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $7,244.36	Facility		$2,089.30	$3,090.30	$7,244.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,630.78	Professional		$2,238.72	$2,884.03	$3,630.78
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 $2,187.76 / $3,019.95 / $3,890.45	Professional		$2,187.76	$3,019.95	$3,890.45