Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.98 / $2,095.00 / $7,838.38	Facility		$833.98	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.30 / $833.98 / $1,362.22	Professional		$750.30	$833.98	$1,362.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.96 / $1,198.44 / $1,511.26	Professional		$798.96	$1,198.44	$1,511.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,290.94	Professional		$32.34	$32.34	$1,290.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $752.41 / $1,036.42 / $1,238.39	Facility		$752.41	$1,036.42	$1,238.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $822.65 / $1,238.39 / $2,026.03	Professional		$822.65	$1,238.39	$2,026.03
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 $882.19 / $1,184.99 / $1,907.99	Professional		$882.19	$1,184.99	$1,907.99