Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.14 / $7,838.38 / $7,838.38	Facility		$713.14	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.66 / $636.29 / $1,129.47	Professional		$593.66	$636.29	$1,129.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.47 / $1,005.12 / $1,314.02	Professional		$706.47	$1,005.12	$1,314.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $198.76 / $1,070.36	Professional		$32.34	$198.76	$1,070.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.62 / $861.15 / $979.59	Facility		$676.62	$861.15	$979.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $765.62 / $998.64 / $1,314.02	Professional		$765.62	$998.64	$1,314.02
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 $802.24 / $1,032.58 / $1,581.58	Professional		$802.24	$1,032.58	$1,581.58