Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $7,762.47	Facility		$2,089.30	$2,344.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $7,413.10	Professional		$1,513.56	$1,949.84	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $2,951.21	Professional		$1,862.09	$2,511.89	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,238.72	Professional		$32.36	$33.11	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $5,754.40	Facility		$1,698.24	$2,454.71	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $2,951.21	Professional		$1,778.28	$2,344.23	$2,951.21
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 $1,778.28 / $2,454.71 / $3,090.30	Professional		$1,778.28	$2,454.71	$3,090.30