Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $7,762.47	Facility		$2,089.30	$3,467.37	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $5,128.61	Professional		$1,905.46	$2,398.83	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $4,168.69	Professional		$1,698.24	$3,162.28	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,162.28	Professional		$32.36	$33.11	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $4,897.79	Facility		$2,187.76	$3,019.95	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $4,168.69	Professional		$1,698.24	$3,019.95	$4,168.69
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 $2,290.87 / $3,019.95 / $5,011.87	Professional		$2,290.87	$3,019.95	$5,011.87