Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $8,709.64	Facility		$1,148.15	$2,089.30	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,584.89	Professional		$691.83	$794.33	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $2,691.53	Professional		$645.65	$1,096.48	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,621.81	Facility		$776.25	$1,096.48	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,819.70	Professional		$758.58	$1,174.90	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $11,220.18 / $31,622.78	Facility		$891.25	$11,220.18	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,548.82	Professional		$812.83	$1,096.48	$1,548.82