Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $7,762.47	Facility		$1,288.25	$1,318.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,698.24	Professional		$758.58	$933.25	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,584.89	Professional		$891.25	$1,174.90	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $257.04 / $1,621.81	Professional		$32.36	$257.04	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,348.96	Facility		$758.58	$1,071.52	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,513.56	Professional		$891.25	$1,174.90	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,606.93 / $12,589.25	Facility		$645.65	$6,606.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,584.89	Professional		$870.96	$1,258.93	$1,584.89