Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $7,762.47	Facility		$1,288.25	$1,318.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,238.72	Professional		$851.14	$1,096.48	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,348.96 / $1,698.24	Professional		$741.31	$1,348.96	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,288.25	Professional		$32.36	$33.11	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,290.87	Facility		$1,000.00	$1,318.26	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,318.26 / $1,698.24	Professional		$741.31	$1,318.26	$1,698.24
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 $1,023.29 / $1,380.38 / $2,041.74	Professional		$1,023.29	$1,380.38	$2,041.74