Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.21 / $7,838.38 / $7,838.38	Facility		$933.21	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.27 / $819.44 / $1,695.54	Professional		$777.27	$819.44	$1,695.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.25 / $1,240.77 / $1,826.96	Professional		$951.25	$1,240.77	$1,826.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $297.98 / $1,606.82	Professional		$32.34	$297.98	$1,606.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $893.61 / $1,137.32 / $1,329.70	Facility		$893.61	$1,137.32	$1,329.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $951.25 / $1,297.44 / $1,826.96	Professional		$951.25	$1,297.44	$1,826.96
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 $1,004.49 / $1,402.87 / $2,014.84	Professional		$1,004.49	$1,402.87	$2,014.84