Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $7,762.47	Facility		$2,137.96	$3,235.94	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $5,011.87	Professional		$1,905.46	$2,454.71	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,951.21 / $3,981.07	Professional		$1,548.82	$2,951.21	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,951.21	Professional		$32.36	$33.11	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $4,570.88	Facility		$1,819.70	$2,754.23	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,884.03 / $3,981.07	Professional		$1,548.82	$2,884.03	$3,981.07
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 $2,089.30 / $2,884.03 / $4,677.35	Professional		$2,089.30	$2,884.03	$4,677.35