Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $7,762.47	Facility		$1,148.15	$1,202.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,778.28	Professional		$741.31	$851.14	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,412.54	Professional		$831.76	$1,071.52	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,071.52	Professional		$32.36	$33.11	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,737.80	Facility		$776.25	$1,000.00	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,412.54	Professional		$831.76	$1,071.52	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,698.24	Professional		$794.33	$1,071.52	$1,698.24