Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,089.30 / $8,912.51	Facility		$1,122.02	$2,089.30	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,041.74	Professional		$758.58	$977.24	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,202.26 / $1,513.56	Professional		$630.96	$1,202.26	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,148.15	Professional		$32.36	$33.11	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,995.26	Facility		$891.25	$1,174.90	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,174.90 / $1,513.56	Professional		$630.96	$1,174.90	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,025.60 / $8,511.38	Facility		$645.65	$6,025.60	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,819.70	Professional		$891.25	$1,202.26	$1,819.70