Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,663.51 / $1,663.51 / $3,040.41	Facility		$1,663.51	$1,663.51	$3,040.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.51 / $4,000.61 / $4,348.67	Professional		$1,663.51	$4,000.61	$4,348.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.79 / $2,316.69 / $2,316.69	Professional		$613.79	$2,316.69	$2,316.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $3,179.58	Professional		$50.00	$85.00	$3,179.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,067.48 / $2,067.48 / $2,067.48	Facility		$2,067.48	$2,067.48	$2,067.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $2,316.69 / $2,316.69	Professional		$2,316.69	$2,316.69	$2,316.69
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $9,127.00 / $13,891.00	Facility		$790.00	$9,127.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,600.79 / $2,191.73 / $4,245.13	Professional		$1,600.79	$2,191.73	$4,245.13