Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.65 / $7,838.38 / $7,838.38	Facility		$804.65	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $805.29 / $1,344.27	Professional		$759.05	$805.29	$1,344.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.22 / $1,202.40 / $1,521.51	Professional		$728.22	$1,202.40	$1,521.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $237.93 / $1,273.93	Professional		$32.34	$237.93	$1,273.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $809.86 / $1,030.72 / $1,182.29	Facility		$809.86	$1,030.72	$1,182.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $921.84 / $1,202.40 / $1,521.51	Professional		$921.84	$1,202.40	$1,521.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $949.95 / $1,197.89 / $1,901.52	Professional		$949.95	$1,197.89	$1,901.52