Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,621.81 / $7,762.47	Facility		$1,584.89	$1,621.81	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,398.83	Professional		$870.96	$1,096.48	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,412.54 / $1,949.84	Professional		$741.31	$1,412.54	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,479.11	Professional		$32.36	$33.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,290.87	Facility		$1,023.29	$1,318.26	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,380.38 / $1,949.84	Professional		$741.31	$1,380.38	$1,949.84
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 $1,047.13 / $1,412.54 / $2,290.87	Professional		$1,047.13	$1,412.54	$2,290.87