Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.10 / $7,838.38 / $7,838.38	Facility		$809.10	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.84 / $714.26 / $1,348.29	Professional		$668.84	$714.26	$1,348.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.35 / $1,136.84 / $1,432.79	Professional		$774.35	$1,136.84	$1,432.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,151.10	Professional		$32.34	$32.34	$1,151.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $871.59 / $1,087.48 / $1,432.79	Professional		$871.59	$1,087.48	$1,432.79
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 $983.84 / $1,207.44 / $1,766.43	Professional		$983.84	$1,207.44	$1,766.43