Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,023.29 / $7,762.47	Facility		$977.24	$1,023.29	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,737.80	Professional		$630.96	$794.33	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,023.29 / $1,348.96	Professional		$549.54	$1,023.29	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,737.80	Facility		$741.31	$1,000.00	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,000.00 / $1,348.96	Professional		$549.54	$1,000.00	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,606.93 / $9,120.11	Facility		$645.65	$6,606.93	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,584.89	Professional		$794.33	$1,047.13	$1,584.89