Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $7,762.47	Facility		$2,089.30	$3,019.95	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $3,630.78	Professional		$1,621.81	$1,862.09	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $6,025.60	Professional		$1,584.89	$2,630.27	$6,025.60
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 $1,862.09 / $2,398.83 / $3,715.35	Facility		$1,862.09	$2,398.83	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $4,365.16	Professional		$1,819.70	$2,818.38	$4,365.16
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 $1,862.09 / $2,630.27 / $3,630.78	Professional		$1,862.09	$2,630.27	$3,630.78