Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $7,762.47	Facility		$2,089.30	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $4,570.88	Professional		$1,659.59	$2,137.96	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $3,715.35	Professional		$1,412.54	$2,691.53	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,818.38	Professional		$32.36	$33.11	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,981.07	Facility		$1,862.09	$2,454.71	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $3,715.35	Professional		$1,412.54	$2,630.27	$3,715.35
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 $1,819.70 / $2,630.27 / $3,981.07	Professional		$1,819.70	$2,630.27	$3,981.07