Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.54 / $5,000.27 / $7,838.38	Facility		$808.54	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.91 / $808.54 / $4,258.89	Professional		$711.91	$808.54	$4,258.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.59 / $1,163.75 / $1,535.99	Professional		$802.59	$1,163.75	$1,535.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,200.50	Professional		$32.34	$32.34	$1,200.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.50 / $1,050.00 / $2,100.00	Facility		$736.50	$1,050.00	$2,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $820.34 / $1,238.35 / $1,924.77	Professional		$820.34	$1,238.35	$1,924.77
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $11,259.00 / $16,897.00	Facility		$899.00	$11,259.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $859.11 / $1,156.51 / $1,812.59	Professional		$859.11	$1,156.51	$1,812.59