Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $8,709.64	Facility		$1,548.82	$1,621.81	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $1,819.70	Professional		$776.25	$870.96	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $3,162.28	Professional		$776.25	$1,230.27	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,737.80	Facility		$831.76	$1,096.48	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,995.26	Professional		$851.14	$1,318.26	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $15,135.61 / $31,622.78	Facility		$1,023.29	$15,135.61	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,659.59	Professional		$851.14	$1,202.26	$1,659.59