Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $7,762.47	Facility		$1,513.56	$1,548.82	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,630.27	Professional		$977.24	$1,202.26	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,621.81 / $1,995.26	Professional		$870.96	$1,621.81	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,513.56	Professional		$32.36	$33.11	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,754.23	Facility		$1,148.15	$1,513.56	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,548.82 / $1,995.26	Professional		$870.96	$1,548.82	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,606.93 / $15,488.17	Facility		$645.65	$6,606.93	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,344.23	Professional		$1,230.27	$1,584.89	$2,344.23