Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $7,762.47	Facility		$1,412.54	$1,479.11	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,862.09	Professional		$851.14	$977.24	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,380.38 / $3,311.31	Professional		$812.83	$1,380.38	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,995.26	Facility		$954.99	$1,318.26	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,290.87	Professional		$954.99	$1,445.44	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $15,135.61 / $31,622.78	Facility		$1,023.29	$15,135.61	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,905.46	Professional		$1,023.29	$1,380.38	$1,905.46