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 / $5,248.07	Professional		$1,659.59	$2,137.96	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $3,715.35	Professional		$1,513.56	$2,818.38	$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 $1,949.84 / $2,691.53 / $4,365.16	Facility		$1,949.84	$2,691.53	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,754.23 / $3,715.35	Professional		$1,513.56	$2,754.23	$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 $2,041.74 / $2,754.23 / $4,466.84	Professional		$2,041.74	$2,754.23	$4,466.84