Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.77 / $2,095.00 / $7,838.38	Facility		$871.77	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.77 / $1,065.88 / $4,704.81	Professional		$871.77	$1,065.88	$4,704.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.15 / $1,169.15 / $1,463.03	Professional		$740.15	$1,169.15	$1,463.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,287.33 / $1,391.82	Professional		$32.34	$1,287.33	$1,391.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $775.95 / $1,070.23 / $1,538.52	Facility		$775.95	$1,070.23	$1,538.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $900.60 / $1,336.17 / $1,756.63	Professional		$900.60	$1,336.17	$1,756.63
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 $870.49 / $1,259.29 / $1,670.49	Professional		$870.49	$1,259.29	$1,670.49