Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,380.38 / $7,762.47	Facility		$851.14	$1,380.38	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,412.54	Professional		$467.74	$602.56	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $794.33 / $1,122.02	Professional		$407.38	$794.33	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $870.96	Professional		$32.36	$33.11	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $1,318.26	Facility		$588.84	$851.14	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $776.25 / $1,122.02	Professional		$407.38	$776.25	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,202.26	Professional		$645.65	$831.76	$1,202.26