Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $7,762.47	Facility		$2,089.30	$2,398.83	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $3,090.30	Professional		$1,412.54	$1,659.59	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $2,951.21	Professional		$1,584.89	$2,290.87	$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 $1,445.44 / $1,949.84 / $3,467.37	Facility		$1,445.44	$1,949.84	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $3,467.37	Professional		$1,584.89	$2,398.83	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $5,011.87 / $17,782.79	Facility		$562.34	$5,011.87	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $3,235.94	Professional		$1,548.82	$2,454.71	$3,235.94