Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.54 / $7,838.38 / $8,763.29	Facility		$874.54	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.43 / $874.54 / $3,115.00	Professional		$788.43	$874.54	$3,115.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.78 / $1,272.11 / $1,635.46	Professional		$850.78	$1,272.11	$1,635.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,352.93	Professional		$32.34	$32.34	$1,352.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $788.43 / $1,046.55 / $1,318.71	Facility		$788.43	$1,046.55	$1,318.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $863.78 / $1,318.71 / $2,124.80	Professional		$863.78	$1,318.71	$2,124.80
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 $900.50 / $1,224.34 / $1,750.92	Professional		$900.50	$1,224.34	$1,750.92