Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.81 / $7,838.38 / $7,838.38	Facility		$816.81	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.50 / $826.75 / $1,364.48	Professional		$770.50	$826.75	$1,364.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.19 / $1,231.19 / $1,552.09	Professional		$739.19	$1,231.19	$1,552.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,293.08	Professional		$32.34	$32.34	$1,293.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $852.34 / $1,084.80 / $1,226.30	Facility		$852.34	$1,084.80	$1,226.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $944.60 / $1,232.08 / $1,552.09	Professional		$944.60	$1,232.08	$1,552.09
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 $935.95 / $1,273.48 / $1,932.34	Professional		$935.95	$1,273.48	$1,932.34