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 $1,819.70 / $2,398.83 / $5,128.61	Professional		$1,819.70	$2,398.83	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,630.27 / $4,073.80	Professional		$1,348.96	$2,630.27	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,090.30	Professional		$32.36	$33.11	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $4,168.69	Facility		$1,949.84	$2,511.89	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,511.89 / $4,073.80	Professional		$1,348.96	$2,511.89	$4,073.80
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 $1,949.84 / $2,630.27 / $4,265.80	Professional		$1,949.84	$2,630.27	$4,265.80