Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,630.78 / $7,762.47	Facility		$2,398.83	$3,630.78	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $4,570.88	Professional		$1,995.26	$2,398.83	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $4,168.69	Professional		$2,137.96	$2,951.21	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,311.31	Professional		$32.36	$33.11	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $4,570.88	Facility		$2,089.30	$2,691.53	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $5,128.61	Professional		$2,187.76	$3,019.95	$5,128.61
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 $2,187.76 / $2,951.21 / $4,677.35	Professional		$2,187.76	$2,951.21	$4,677.35