Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,611.68 / $1,611.68 / $1,611.68	Facility		$1,611.68	$1,611.68	$1,611.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,611.68 / $2,041.96 / $2,041.96	Professional		$1,611.68	$2,041.96	$2,041.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $192.51 / $192.51	Professional		$192.51	$192.51	$192.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.34 / $491.89 / $5,338.80	Professional		$262.34	$491.89	$5,338.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $476.75 / $2,062.98 / $2,675.99	Facility		$476.75	$2,062.98	$2,675.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $192.51 / $192.51	Professional		$192.51	$192.51	$192.51
United Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $254.65 / $2,546.46	Professional		$143.24	$254.65	$2,546.46