Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $758.58 / $7,762.47	Facility		$724.44	$758.58	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $1,348.96	Professional		$562.34	$645.65	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $831.76 / $1,047.13	Professional		$467.74	$831.76	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $794.33	Professional		$32.36	$33.11	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $1,445.44	Facility		$602.56	$831.76	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $1,047.13	Professional		$467.74	$794.33	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $9,120.11 / $30,902.95	Facility		$794.33	$9,120.11	$30,902.95
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,258.93	Professional		$616.60	$812.83	$1,258.93