Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.27 / $7,838.38 / $8,763.29	Facility		$745.27	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.90 / $745.27 / $2,807.00	Professional		$649.90	$745.27	$2,807.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.62 / $1,016.44 / $1,313.43	Professional		$677.62	$1,016.44	$1,313.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,153.26	Professional		$32.34	$32.34	$1,153.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $696.17 / $822.43 / $1,050.32	Facility		$696.17	$822.43	$1,050.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $734.95 / $1,082.90 / $1,809.40	Professional		$734.95	$1,082.90	$1,809.40
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 $758.52 / $1,032.43 / $1,625.39	Professional		$758.52	$1,032.43	$1,625.39