Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.19 / $2,095.00 / $7,838.38	Facility		$918.19	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.73 / $918.19 / $3,242.00	Professional		$800.73	$918.19	$3,242.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.33 / $1,282.99 / $1,625.77	Professional		$855.33	$1,282.99	$1,625.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,418.70	Professional		$32.34	$32.34	$1,418.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.37 / $1,132.51 / $1,700.00	Facility		$870.37	$1,132.51	$1,700.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $901.70 / $1,333.95 / $2,231.04	Professional		$901.70	$1,333.95	$2,231.04
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 $979.18 / $1,304.85 / $1,831.85	Professional		$979.18	$1,304.85	$1,831.85