Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.91 / $7,838.38 / $7,838.38	Facility		$799.91	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.94 / $747.27 / $1,181.00	Professional		$650.94	$747.27	$1,181.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.65 / $1,098.08 / $1,369.61	Professional		$841.65	$1,098.08	$1,369.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $207.59 / $1,119.21	Professional		$32.34	$207.59	$1,119.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $814.91 / $1,037.16 / $1,109.26	Facility		$814.91	$1,037.16	$1,109.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $841.65 / $1,097.81 / $1,369.61	Professional		$841.65	$1,097.81	$1,369.61
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 $882.00 / $1,133.00 / $1,668.61	Professional		$882.00	$1,133.00	$1,668.61