Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.67 / $7,838.38 / $7,838.38	Facility		$888.67	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.79 / $903.65 / $1,382.52	Professional		$818.79	$903.65	$1,382.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.19 / $1,281.29 / $1,584.80	Professional		$749.19	$1,281.29	$1,584.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $242.72 / $1,310.18	Professional		$32.34	$242.72	$1,310.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $837.18 / $1,065.50 / $1,288.72	Facility		$837.18	$1,065.50	$1,288.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $982.32 / $1,281.29 / $1,584.80	Professional		$982.32	$1,281.29	$1,584.80
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 $1,074.59 / $1,337.05 / $1,944.20	Professional		$1,074.59	$1,337.05	$1,944.20