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 $1,412.54 / $1,819.70 / $3,890.45	Professional		$1,412.54	$1,819.70	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $3,162.28	Professional		$1,258.93	$2,398.83	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,398.83	Professional		$32.36	$33.11	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,715.35	Facility		$1,659.59	$2,238.72	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $3,162.28	Professional		$1,258.93	$2,290.87	$3,162.28
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 $1,698.24 / $2,290.87 / $3,715.35	Professional		$1,698.24	$2,290.87	$3,715.35