Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.20 / $7,838.38 / $7,838.38	Facility		$917.20	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.95 / $794.19 / $1,352.02	Professional		$737.95	$794.19	$1,352.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $956.06 / $1,260.23 / $1,559.76	Professional		$956.06	$1,260.23	$1,559.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $237.92 / $1,281.28	Professional		$32.34	$237.92	$1,281.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $872.45 / $1,110.40 / $1,227.16	Facility		$872.45	$1,110.40	$1,227.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $956.06 / $1,247.04 / $1,559.76	Professional		$956.06	$1,247.04	$1,559.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $991.35 / $1,279.19 / $1,930.76	Professional		$991.35	$1,279.19	$1,930.76