Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.39 / $2,145.78 / $7,838.38	Facility		$443.39	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.52 / $433.65 / $687.16	Professional		$331.52	$433.65	$687.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.85 / $596.52 / $742.44	Professional		$407.85	$596.52	$742.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $360.23 / $651.20	Professional		$32.34	$360.23	$651.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.21 / $827.57 / $1,053.28	Facility		$510.21	$827.57	$1,053.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $409.75 / $596.52 / $783.33	Professional		$409.75	$596.52	$783.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.47 / $664.94 / $957.48	Professional		$528.47	$664.94	$957.48