Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $8,709.64	Facility		$1,288.25	$2,089.30	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,819.70	Professional		$851.14	$1,000.00	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $3,467.37	Facility		$1,513.56	$1,513.56	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,584.89	Professional		$891.25	$1,202.26	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,288.25	Professional		$32.36	$33.11	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,041.74	Facility		$851.14	$1,174.90	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,995.26	Professional		$891.25	$1,288.25	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $8,912.51 / $25,703.96	Facility		$891.25	$8,912.51	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,778.28	Professional		$912.01	$1,258.93	$1,778.28