Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.85 / $7,838.38 / $8,644.27	Facility		$747.85	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.77 / $747.85 / $2,505.00	Professional		$655.77	$747.85	$2,505.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.23 / $1,023.35 / $1,307.03	Professional		$682.23	$1,023.35	$1,307.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,134.55	Professional		$32.34	$32.34	$1,134.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $665.54 / $873.78 / $1,360.00	Facility		$665.54	$873.78	$1,360.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $686.21 / $1,067.31 / $1,807.74	Professional		$686.21	$1,067.31	$1,807.74
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 $776.88 / $1,057.41 / $1,621.87	Professional		$776.88	$1,057.41	$1,621.87