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 $1,258.93 / $1,621.81 / $3,630.78	Professional		$1,258.93	$1,621.81	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $2,754.23	Professional		$1,174.90	$2,137.96	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $3,467.37	Facility		$1,445.44	$2,137.96	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $2,754.23	Professional		$1,174.90	$2,137.96	$2,754.23
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 $1,621.81 / $2,137.96 / $3,311.31	Professional		$1,621.81	$2,137.96	$3,311.31