Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.29 / $5,000.27 / $7,838.38	Facility		$790.29	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.66 / $790.29 / $3,530.00	Professional		$646.66	$790.29	$3,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.31 / $1,077.74 / $1,397.19	Professional		$695.31	$1,077.74	$1,397.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,222.94	Professional		$32.34	$32.34	$1,222.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $750.27 / $954.94 / $2,158.82	Facility		$750.27	$954.94	$2,158.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $762.27 / $1,112.50 / $1,918.96	Professional		$762.27	$1,112.50	$1,918.96
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 $742.93 / $1,099.56 / $1,588.69	Professional		$742.93	$1,099.56	$1,588.69