Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.23 / $2,095.00 / $7,838.38	Facility		$885.23	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.21 / $885.23 / $3,126.00	Professional		$792.21	$885.23	$3,126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.02 / $1,263.02 / $1,593.32	Professional		$842.02	$1,263.02	$1,593.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,367.26	Professional		$32.34	$32.34	$1,367.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $838.81 / $1,085.00 / $1,785.00	Facility		$838.81	$1,085.00	$1,785.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $868.57 / $1,305.11 / $2,150.53	Professional		$868.57	$1,305.11	$2,150.53
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 $930.97 / $1,257.33 / $2,027.14	Professional		$930.97	$1,257.33	$2,027.14