Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $7,762.47	Facility		$2,691.53	$3,630.78	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $6,309.57	Professional		$2,344.23	$2,754.23	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,715.35 / $4,786.30	Professional		$1,995.26	$3,715.35	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,630.78	Professional		$32.36	$33.11	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,630.78 / $5,888.44	Facility		$2,290.87	$3,630.78	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $4,786.30	Professional		$1,995.26	$3,630.78	$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 $2,754.23 / $3,630.78 / $5,754.40	Professional		$2,754.23	$3,630.78	$5,754.40