Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $7,762.47	Facility		$2,089.30	$2,454.71	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,890.45	Professional		$1,445.44	$1,905.46	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $3,090.30	Professional		$1,122.02	$2,137.96	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,290.87	Professional		$32.36	$33.11	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $3,630.78	Facility		$1,698.24	$2,089.30	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $3,090.30	Professional		$1,122.02	$2,137.96	$3,090.30
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 $1,659.59 / $2,187.76 / $3,311.31	Professional		$1,659.59	$2,187.76	$3,311.31