Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.90 / $5,000.27 / $7,838.38	Facility		$856.90	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.96 / $894.58 / $3,980.51	Professional		$732.96	$894.58	$3,980.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.63 / $1,120.29 / $1,422.74	Professional		$721.63	$1,120.29	$1,422.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $743.73 / $1,331.30	Professional		$32.34	$743.73	$1,331.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $672.37 / $1,081.41 / $1,309.48	Facility		$672.37	$1,081.41	$1,309.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $765.68 / $1,235.51 / $1,608.01	Professional		$765.68	$1,235.51	$1,608.01
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 $926.66 / $1,275.51 / $1,625.65	Professional		$926.66	$1,275.51	$1,625.65