Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.50 / $2,095.00 / $7,838.38	Facility		$685.50	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.16 / $685.50 / $1,116.28	Professional		$559.16	$685.50	$1,116.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.32 / $963.48 / $1,209.04	Professional		$642.32	$963.48	$1,209.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,057.86	Professional		$32.34	$32.34	$1,057.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $620.52 / $746.35 / $995.59	Facility		$620.52	$746.35	$995.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.48 / $995.59 / $1,663.32	Professional		$662.48	$995.59	$1,663.32
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $9,127.00 / $13,891.00	Facility		$790.00	$9,127.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $725.41 / $965.29 / $1,518.29	Professional		$725.41	$965.29	$1,518.29