Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.53 / $7,838.38 / $7,838.38	Facility		$685.53	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.51 / $684.26 / $1,064.82	Professional		$632.51	$684.26	$1,064.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.34 / $976.88 / $1,220.10	Professional		$577.34	$976.88	$1,220.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $186.75 / $1,009.10	Professional		$32.34	$186.75	$1,009.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $732.89 / $932.76 / $1,012.57	Facility		$732.89	$932.76	$1,012.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $748.95 / $976.88 / $1,220.10	Professional		$748.95	$976.88	$1,220.10
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 $770.34 / $1,005.47 / $1,513.64	Professional		$770.34	$1,005.47	$1,513.64