Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $7,762.47	Facility		$2,089.30	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $3,235.94	Professional		$1,288.25	$1,513.56	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $4,786.30	Professional		$1,258.93	$2,137.96	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,311.31	Facility		$1,513.56	$2,089.30	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,548.13	Professional		$1,479.11	$2,238.72	$3,548.13
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 $1,584.89 / $2,137.96 / $2,951.21	Professional		$1,584.89	$2,137.96	$2,951.21