Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.92 / $5,000.27 / $7,838.38	Facility		$783.92	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.60 / $825.13 / $3,588.44	Professional		$666.60	$825.13	$3,588.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.62 / $1,040.58 / $1,337.49	Professional		$669.62	$1,040.58	$1,337.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $304.72 / $1,251.71	Professional		$32.34	$304.72	$1,251.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.86 / $1,004.53 / $1,205.56	Facility		$612.86	$1,004.53	$1,205.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $703.61 / $1,170.31 / $1,573.45	Professional		$703.61	$1,170.31	$1,573.45
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $3,085.00 / $5,060.00	Facility		$559.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $920.06 / $1,252.92 / $1,508.40	Professional		$920.06	$1,252.92	$1,508.40