Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,513.56 / $7,762.47	Facility		$1,479.11	$1,513.56	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $4,897.79	Professional		$977.24	$1,258.93	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $1,995.26	Professional		$1,202.26	$1,659.59	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $3,801.89	Facility		$1,148.15	$1,584.89	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $1,995.26	Professional		$1,148.15	$1,621.81	$1,995.26
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 $1,148.15 / $1,584.89 / $2,041.74	Professional		$1,148.15	$1,584.89	$2,041.74