Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,801.89 / $7,762.47	Facility		$2,187.76	$3,801.89	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $5,754.40	Professional		$2,089.30	$2,691.53	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,548.13 / $4,677.35	Professional		$1,862.09	$3,548.13	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,548.13	Professional		$32.36	$33.11	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $5,495.41	Facility		$2,454.71	$3,388.44	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,388.44 / $4,677.35	Professional		$1,862.09	$3,388.44	$4,677.35
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 $2,570.40 / $3,388.44 / $5,495.41	Professional		$2,570.40	$3,388.44	$5,495.41