Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $7,762.47	Facility		$1,513.56	$1,584.89	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $5,011.87	Professional		$1,000.00	$1,288.25	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $1,949.84	Professional		$1,258.93	$1,698.24	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,479.11	Professional		$32.36	$33.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $3,890.45	Facility		$1,174.90	$1,659.59	$3,890.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,949.84	Professional		$1,202.26	$1,584.89	$1,949.84
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 $1,174.90 / $1,621.81 / $2,089.30	Professional		$1,174.90	$1,621.81	$2,089.30