Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $7,762.47	Facility		$1,548.82	$1,621.81	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $2,754.23	Professional		$1,000.00	$1,258.93	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,698.24 / $2,089.30	Professional		$891.25	$1,698.24	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,584.89	Professional		$32.36	$33.11	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,818.38	Facility		$1,174.90	$1,621.81	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,584.89 / $2,089.30	Professional		$891.25	$1,584.89	$2,089.30
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 $1,258.93 / $1,698.24 / $2,511.89	Professional		$1,258.93	$1,698.24	$2,511.89