Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.27 / $7,838.38 / $7,838.38	Facility		$715.27	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.27 / $788.41 / $1,369.19	Professional		$715.27	$788.41	$1,369.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.02 / $1,205.03 / $1,519.30	Professional		$725.02	$1,205.03	$1,519.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $242.56 / $1,297.55	Professional		$32.34	$242.56	$1,297.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $806.14 / $1,026.00 / $1,198.76	Facility		$806.14	$1,026.00	$1,198.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $923.85 / $1,205.03 / $1,519.30	Professional		$923.85	$1,205.03	$1,519.30
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 $921.11 / $1,244.88 / $1,895.21	Professional		$921.11	$1,244.88	$1,895.21