Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $7,762.47	Facility		$2,089.30	$2,290.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,691.53	Professional		$1,148.15	$1,380.38	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $4,570.88	Professional		$1,148.15	$1,698.24	$4,570.88
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 $1,380.38 / $1,737.80 / $2,884.03	Facility		$1,380.38	$1,737.80	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $3,235.94	Professional		$1,174.90	$1,819.70	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $10,964.78 / $23,442.29	Facility		$1,659.59	$10,964.78	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,691.53	Professional		$1,318.26	$1,819.70	$2,691.53