Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.88 / $2,095.00 / $7,838.38	Facility		$723.88	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.63 / $723.88 / $2,643.00	Professional		$630.63	$723.88	$2,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.74 / $1,029.01 / $1,255.78	Professional		$584.74	$1,029.01	$1,255.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,051.38	Professional		$32.34	$32.34	$1,051.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.02 / $851.05 / $1,118.50	Facility		$645.02	$851.05	$1,118.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $721.61 / $1,082.42 / $1,723.08	Professional		$721.61	$1,082.42	$1,723.08
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 $755.64 / $1,035.83 / $1,613.51	Professional		$755.64	$1,035.83	$1,613.51