Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $7,762.47	Facility		$2,089.30	$2,290.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $7,244.36	Professional		$1,445.44	$1,737.80	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,754.23	Professional		$1,659.59	$2,187.76	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,137.96	Professional		$32.36	$33.11	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,137.96 / $5,623.41	Facility		$1,949.84	$2,137.96	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,754.23	Professional		$1,659.59	$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 $1,698.24 / $2,238.72 / $3,162.28	Professional		$1,698.24	$2,238.72	$3,162.28