Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.33 / $7,838.38 / $7,838.38	Facility		$903.33	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.44 / $802.30 / $1,505.24	Professional		$797.44	$802.30	$1,505.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.18 / $1,317.46 / $1,631.25	Professional		$865.18	$1,317.46	$1,631.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,285.24	Professional		$32.34	$32.34	$1,285.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $819.60 / $1,043.13 / $1,282.30	Facility		$819.60	$1,043.13	$1,282.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,010.05 / $1,214.05 / $1,631.25	Professional		$1,010.05	$1,214.05	$1,631.25
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 $973.65 / $1,324.94 / $1,956.95	Professional		$973.65	$1,324.94	$1,956.95