Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.62 / $2,095.00 / $7,838.38	Facility		$844.62	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.20 / $844.62 / $2,962.00	Professional		$754.20	$844.62	$2,962.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.76 / $1,201.14 / $1,516.63	Professional		$800.76	$1,201.14	$1,516.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,305.11	Professional		$32.34	$32.34	$1,305.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $800.69 / $1,029.82 / $1,700.00	Facility		$800.69	$1,029.82	$1,700.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $828.16 / $1,241.18 / $2,050.92	Professional		$828.16	$1,241.18	$2,050.92
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 $869.88 / $1,199.51 / $1,899.01	Professional		$869.88	$1,199.51	$1,899.01