Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.36 / $7,838.38 / $8,644.27	Facility		$874.36	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.60 / $874.36 / $3,087.00	Professional		$759.60	$874.36	$3,087.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.50 / $1,215.48 / $1,553.24	Professional		$739.50	$1,215.48	$1,553.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,350.11	Professional		$32.34	$32.34	$1,350.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $819.67 / $1,030.04 / $2,210.00	Facility		$819.67	$1,030.04	$2,210.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $810.32 / $1,269.46 / $2,123.96	Professional		$810.32	$1,269.46	$2,123.96
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 $891.00 / $1,241.16 / $1,875.60	Professional		$891.00	$1,241.16	$1,875.60