Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,089.30 / $8,317.64	Facility		$616.60	$2,089.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $1,071.52	Professional		$389.05	$489.78	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $812.83	Professional		$467.74	$645.65	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $616.60 / $1,096.48	Facility		$467.74	$616.60	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $812.83	Professional		$467.74	$630.96	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $15,135.61 / $26,302.68	Facility		$1,023.29	$15,135.61	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $977.24	Professional		$489.78	$660.69	$977.24