Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.60 / $2,145.78 / $7,838.38	Facility		$702.60	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.53 / $702.60 / $2,489.00	Professional		$626.53	$702.60	$2,489.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.30 / $968.57 / $1,257.21	Professional		$662.30	$968.57	$1,257.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,004.68	Professional		$32.34	$32.34	$1,004.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $799.00 / $960.21	Facility		$658.00	$799.00	$960.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $689.52 / $1,026.56 / $1,704.82	Professional		$689.52	$1,026.56	$1,704.82
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.53 / $991.01 / $1,539.00	Professional		$713.53	$991.01	$1,539.00