Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.43 / $7,838.38 / $7,838.38	Facility		$743.43	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.59 / $773.32 / $1,458.63	Professional		$685.59	$773.32	$1,458.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.59 / $1,104.30 / $1,371.30	Professional		$664.59	$1,104.30	$1,371.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $203.30 / $1,096.40	Professional		$32.34	$203.30	$1,096.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $685.52 / $872.48 / $1,062.69	Facility		$685.52	$872.48	$1,062.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $837.13 / $1,104.30 / $1,371.30	Professional		$837.13	$1,104.30	$1,371.30
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 $879.50 / $1,126.83 / $1,700.88	Professional		$879.50	$1,126.83	$1,700.88