Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.44 / $2,095.00 / $7,838.38	Facility		$749.44	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.74 / $749.44 / $2,524.00	Professional		$635.74	$749.44	$2,524.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.78 / $1,004.68 / $1,311.36	Professional		$669.78	$1,004.68	$1,311.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,139.33	Professional		$32.34	$32.34	$1,139.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $669.31 / $846.10 / $1,091.40	Facility		$669.31	$846.10	$1,091.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $700.56 / $1,071.65 / $1,773.86	Professional		$700.56	$1,071.65	$1,773.86
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 $741.24 / $1,014.30 / $1,570.49	Professional		$741.24	$1,014.30	$1,570.49