Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $7,762.47	Facility		$2,089.30	$2,630.27	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,466.84	Professional		$1,698.24	$2,187.76	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,754.23 / $3,388.44	Professional		$1,445.44	$2,754.23	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,570.40	Professional		$32.36	$33.11	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $4,677.35	Facility		$1,995.26	$2,691.53	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $3,388.44	Professional		$1,445.44	$2,630.27	$3,388.44
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 / $2,754.23 / $4,073.80	Professional		$2,089.30	$2,754.23	$4,073.80