Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,818.38	Professional		$1,548.82	$1,905.46	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,949.84 / $1,949.84	Professional		$245.47	$1,949.84	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $676.08 / $4,897.79	Professional		$190.55	$676.08	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $2,818.38	Facility		$1,096.48	$1,905.46	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,659.59 / $1,949.84	Professional		$245.47	$1,659.59	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $977.24 / $1,995.26	Facility		$131.83	$977.24	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $2,398.83	Professional		$1,230.27	$1,348.96	$2,398.83