Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,041.74 / $7,762.47	Facility		$1,949.84	$2,041.74	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $6,606.93	Professional		$1,318.26	$1,698.24	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,570.40	Professional		$1,621.81	$2,137.96	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,949.84	Professional		$32.36	$33.11	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $5,011.87	Facility		$1,202.26	$2,041.74	$5,011.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $2,570.40	Professional		$1,548.82	$1,995.26	$2,570.40
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 $1,548.82 / $2,041.74 / $2,691.53	Professional		$1,548.82	$2,041.74	$2,691.53