Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,889.56 / $1,889.56 / $1,889.56	Facility		$1,889.56	$1,889.56	$1,889.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,889.56 / $2,531.29 / $2,531.29	Professional		$1,889.56	$2,531.29	$2,531.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.76 / $287.76 / $287.76	Professional		$287.76	$287.76	$287.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.72 / $610.74 / $3,786.00	Professional		$325.72	$610.74	$3,786.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,114.60 / $1,996.51 / $3,137.38	Facility		$1,114.60	$1,996.51	$3,137.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.76 / $287.76 / $1,099.68	Professional		$287.76	$287.76	$1,099.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,325.49 / $1,654.40 / $2,245.23	Professional		$1,325.49	$1,654.40	$2,245.23