Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.37 / $7,838.38 / $7,838.38	Facility		$687.37	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.61 / $724.53 / $1,183.97	Professional		$648.61	$724.53	$1,183.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.41 / $1,079.66 / $1,324.58	Professional		$625.41	$1,079.66	$1,324.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $202.62 / $1,093.52	Professional		$32.34	$202.62	$1,093.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $711.36 / $905.37 / $1,090.67	Facility		$711.36	$905.37	$1,090.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $827.74 / $1,079.66 / $1,324.58	Professional		$827.74	$1,079.66	$1,324.58
United Facility/Professional Facility Modifier Low / Median / High Price $6,602.00 / $9,127.00 / $10,150.00	Facility		$6,602.00	$9,127.00	$10,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $874.19 / $1,118.14 / $1,610.81	Professional		$874.19	$1,118.14	$1,610.81