Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $7,762.47	Facility		$1,122.02	$1,174.90	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,621.81	Professional		$691.83	$812.83	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $2,691.53	Professional		$676.08	$1,148.15	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,659.59	Facility		$776.25	$1,096.48	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,862.09	Professional		$794.33	$1,174.90	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $11,220.18 / $25,703.96	Facility		$891.25	$11,220.18	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,513.56	Professional		$794.33	$1,096.48	$1,513.56