Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.29 / $5,000.27 / $7,838.38	Facility		$1,088.29	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.04 / $1,040.67 / $1,481.92	Professional		$954.04	$1,040.67	$1,481.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,158.61 / $1,158.61 / $1,158.61	Facility		$1,158.61	$1,158.61	$1,158.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,015.02 / $1,497.48 / $1,919.31	Professional		$1,015.02	$1,497.48	$1,919.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,585.29	Professional		$32.34	$32.34	$1,585.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $903.40 / $1,158.60 / $1,481.92	Facility		$903.40	$1,158.60	$1,481.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,125.54 / $1,611.98 / $2,653.50	Professional		$1,125.54	$1,611.98	$2,653.50
United Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $6,599.00 / $14,184.26	Facility		$936.00	$6,599.00	$14,184.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.60 / $1,438.09 / $2,115.36	Professional		$1,047.60	$1,438.09	$2,115.36