Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,645.29 / $6,222.94 / $6,222.94	Professional		$4,645.29	$6,222.94	$6,222.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,933.43 / $4,933.43 / $4,933.43	Facility		$4,933.43	$4,933.43	$4,933.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.57 / $4,933.43 / $4,933.43	Professional		$783.57	$4,933.43	$4,933.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $582.53 / $1,495.45 / $12,160.03	Professional		$582.53	$1,495.45	$12,160.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,343.83 / $4,992.89 / $7,712.94	Facility		$3,343.83	$4,992.89	$7,712.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $783.57 / $4,933.43 / $4,933.43	Professional		$783.57	$4,933.43	$4,933.43
United Facility/Professional Facility Modifier Low / Median / High Price $518.79 / $4,709.10 / $7,918.73	Facility		$518.79	$4,709.10	$7,918.73
United Facility/Professional Professional Modifier Low / Median / High Price $4,389.85 / $4,968.60 / $7,802.28	Professional		$4,389.85	$4,968.60	$7,802.28