Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $5,370.32	Professional		$1,995.26	$2,691.53	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $2,691.53 / $2,691.53	Professional		$288.40	$2,691.53	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $549.54 / $7,413.10	Professional		$251.19	$549.54	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,398.83 / $3,311.31	Facility		$239.88	$2,398.83	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $2,290.87 / $2,691.53	Professional		$288.40	$2,290.87	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $323.59 / $2,691.53	Facility		$245.47	$323.59	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,691.53	Professional		$1,348.96	$1,659.59	$2,691.53