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 $577.54 / $745.27 / $3,308.00	Professional		$577.54	$745.27	$3,308.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.35 / $964.25 / $1,313.43	Professional		$591.35	$964.25	$1,313.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,149.92	Professional		$32.34	$32.34	$1,149.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $673.02 / $879.00 / $1,098.29	Facility		$673.02	$879.00	$1,098.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $658.76 / $1,014.41 / $1,809.40	Professional		$658.76	$1,014.41	$1,809.40
United Facility/Professional Facility Modifier Low / Median / High Price $6,489.22 / $11,259.00 / $12,494.00	Facility		$6,489.22	$11,259.00	$12,494.00
United Facility/Professional Professional Modifier Low / Median / High Price $751.21 / $1,022.00 / $1,477.87	Professional		$751.21	$1,022.00	$1,477.87