Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.26 / $7,838.38 / $7,838.38	Facility		$935.26	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.52 / $949.62 / $1,456.03	Professional		$861.52	$949.62	$1,456.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.27 / $1,347.84 / $1,660.59	Professional		$789.27	$1,347.84	$1,660.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $255.50 / $1,379.84	Professional		$32.34	$255.50	$1,379.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $886.29 / $1,128.01 / $1,347.50	Facility		$886.29	$1,128.01	$1,347.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,033.33 / $1,347.84 / $1,660.59	Professional		$1,033.33	$1,347.84	$1,660.59
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 $1,093.06 / $1,401.76 / $2,025.56	Professional		$1,093.06	$1,401.76	$2,025.56