Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.41 / $2,145.78 / $7,838.38	Facility		$803.41	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.25 / $803.41 / $1,317.50	Professional		$715.25	$803.41	$1,317.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.73 / $1,264.66 / $1,669.16	Professional		$798.73	$1,264.66	$1,669.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,248.56	Professional		$32.34	$32.34	$1,248.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $765.99 / $1,137.74 / $2,172.10	Facility		$765.99	$1,137.74	$2,172.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $863.14 / $1,329.20 / $1,959.63	Professional		$863.14	$1,329.20	$1,959.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $15,131.00 / $21,396.00	Facility		$1,035.00	$15,131.00	$21,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $971.59 / $1,233.29 / $1,648.88	Professional		$971.59	$1,233.29	$1,648.88