Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.73 / $7,838.38 / $7,838.38	Facility		$926.73	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.87 / $824.58 / $1,510.23	Professional		$816.87	$824.58	$1,510.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.30 / $1,298.80 / $1,591.16	Professional		$888.30	$1,298.80	$1,591.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,309.75	Professional		$32.34	$32.34	$1,309.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $921.77 / $1,173.16 / $1,300.72	Facility		$921.77	$1,173.16	$1,300.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $995.75 / $1,234.21 / $1,591.16	Professional		$995.75	$1,234.21	$1,591.16
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 $982.37 / $1,317.78 / $1,959.39	Professional		$982.37	$1,317.78	$1,959.39