Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.32 / $7,838.38 / $7,838.38	Facility		$727.32	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.18 / $752.93 / $1,252.86	Professional		$686.18	$752.93	$1,252.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.28 / $1,125.64 / $1,389.67	Professional		$662.28	$1,125.64	$1,389.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $214.64 / $1,158.02	Professional		$32.34	$214.64	$1,158.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $744.70 / $947.80 / $1,128.84	Facility		$744.70	$947.80	$1,128.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $862.99 / $1,125.64 / $1,389.67	Professional		$862.99	$1,125.64	$1,389.67
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 $933.49 / $1,159.39 / $1,699.28	Professional		$933.49	$1,159.39	$1,699.28