Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.67 / $7,838.38 / $7,838.38	Facility		$886.67	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.93 / $787.02 / $1,456.09	Professional		$784.93	$787.02	$1,456.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.94 / $1,258.83 / $1,552.66	Professional		$852.94	$1,258.83	$1,552.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,267.70	Professional		$32.34	$32.34	$1,267.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $971.89 / $1,172.02 / $1,198.94	Facility		$971.89	$1,172.02	$1,198.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $965.10 / $1,196.52 / $1,552.66	Professional		$965.10	$1,196.52	$1,552.66
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 $939.56 / $1,264.26 / $1,888.92	Professional		$939.56	$1,264.26	$1,888.92