Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $4,073.80	Professional		$1,584.89	$2,137.96	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $2,238.72 / $2,238.72	Professional		$245.47	$2,238.72	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $478.63 / $5,011.87	Professional		$89.13	$478.63	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,819.70 / $2,630.27	Facility		$162.18	$1,819.70	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,905.46 / $2,238.72	Professional		$245.47	$1,905.46	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $263.03 / $1,995.26	Facility		$169.82	$263.03	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $1,862.09	Professional		$1,096.48	$1,148.15	$1,862.09