Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $7,762.47	Facility		$1,096.48	$1,148.15	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $3,890.45	Professional		$776.25	$912.01	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,479.11	Professional		$912.01	$1,258.93	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,951.21	Facility		$1,096.48	$1,288.25	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,445.44	Professional		$912.01	$1,148.15	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,621.81	Professional		$912.01	$1,202.26	$1,621.81