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 $1,513.56 / $1,778.28 / $4,073.80	Professional		$1,513.56	$1,778.28	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $3,162.28	Professional		$1,318.26	$2,454.71	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,344.23	Professional		$32.36	$33.11	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $3,981.07	Facility		$1,548.82	$2,344.23	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,398.83 / $3,162.28	Professional		$1,318.26	$2,398.83	$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 $1,862.09 / $2,454.71 / $3,801.89	Professional		$1,862.09	$2,454.71	$3,801.89