Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,388.44 / $7,762.47	Facility		$2,089.30	$3,388.44	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $4,073.80	Professional		$1,819.70	$2,089.30	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,951.21 / $6,760.83	Professional		$1,778.28	$2,951.21	$6,760.83
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 $2,041.74 / $2,754.23 / $4,168.69	Facility		$2,041.74	$2,754.23	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $4,786.30	Professional		$2,041.74	$3,162.28	$4,786.30
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 $2,137.96 / $2,951.21 / $4,073.80	Professional		$2,137.96	$2,951.21	$4,073.80