Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.28 / $7,838.38 / $8,763.29	Facility		$862.28	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.28 / $1,059.01 / $4,694.20	Professional		$862.28	$1,059.01	$4,694.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.30 / $1,197.86 / $1,456.26	Professional		$735.30	$1,197.86	$1,456.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,281.93 / $1,390.00	Professional		$32.34	$1,281.93	$1,390.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $782.17 / $1,092.85 / $1,515.69	Facility		$782.17	$1,092.85	$1,515.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $910.16 / $1,369.00 / $1,738.18	Professional		$910.16	$1,369.00	$1,738.18
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $6,599.00 / $8,422.00	Facility		$639.00	$6,599.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $913.24 / $1,308.78 / $1,672.46	Professional		$913.24	$1,308.78	$1,672.46