Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.59 / $7,838.38 / $7,838.38	Facility		$999.59	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.44 / $1,016.28 / $1,557.53	Professional		$920.44	$1,016.28	$1,557.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.56 / $1,444.08 / $1,778.10	Professional		$842.56	$1,444.08	$1,778.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $273.33 / $1,476.03	Professional		$32.34	$273.33	$1,476.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $956.36 / $1,217.19 / $1,462.21	Facility		$956.36	$1,217.19	$1,462.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,107.13 / $1,444.08 / $1,778.10	Professional		$1,107.13	$1,444.08	$1,778.10
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 $1,208.50 / $1,522.70 / $2,164.60	Professional		$1,208.50	$1,522.70	$2,164.60