Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $8,709.64	Facility		$1,412.54	$1,548.82	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,862.09	Professional		$933.25	$1,174.90	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,659.59	Professional		$933.25	$1,230.27	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $288.40 / $2,951.21	Professional		$32.36	$288.40	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,479.11	Facility		$891.25	$1,202.26	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,659.59	Professional		$933.25	$1,230.27	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $11,220.18 / $25,703.96	Facility		$891.25	$11,220.18	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,778.28	Professional		$954.99	$1,318.26	$1,778.28