Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $8,709.64	Facility		$1,202.26	$2,089.30	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $2,137.96	Professional		$758.58	$954.99	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,258.93 / $1,659.59	Professional		$676.08	$1,258.93	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,258.93	Professional		$32.36	$33.11	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,041.74	Facility		$891.25	$1,258.93	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,258.93 / $1,659.59	Professional		$676.08	$1,258.93	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,606.93 / $14,125.38	Facility		$645.65	$6,606.93	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,995.26	Professional		$954.99	$1,258.93	$1,995.26