Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.82 / $7,838.38 / $7,838.38	Facility		$748.82	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.82 / $856.67 / $1,435.60	Professional		$748.82	$856.67	$1,435.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.43 / $1,259.30 / $1,590.56	Professional		$759.43	$1,259.30	$1,590.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $254.17 / $1,360.48	Professional		$32.34	$254.17	$1,360.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $844.41 / $1,074.70 / $1,252.19	Facility		$844.41	$1,074.70	$1,252.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $965.46 / $1,259.30 / $1,590.56	Professional		$965.46	$1,259.30	$1,590.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $949.87 / $1,299.68 / $1,991.59	Professional		$949.87	$1,299.68	$1,991.59