Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,737.80 / $7,762.47	Facility		$1,698.24	$1,737.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $5,623.41	Professional		$1,122.02	$1,445.44	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,238.72	Professional		$1,412.54	$1,862.09	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,659.59	Professional		$32.36	$33.11	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $4,365.16	Facility		$1,288.25	$1,819.70	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,238.72	Professional		$1,348.96	$1,737.80	$2,238.72
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 $1,318.26 / $1,819.70 / $2,344.23	Professional		$1,318.26	$1,819.70	$2,344.23