Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.26 / $7,838.38 / $7,838.38	Facility		$927.26	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.41 / $822.40 / $1,683.14	Professional		$814.41	$822.40	$1,683.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $992.19 / $1,403.56 / $1,836.21	Professional		$992.19	$1,403.56	$1,836.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $295.90 / $1,595.07	Professional		$32.34	$295.90	$1,595.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $892.25 / $1,135.59 / $1,368.31	Facility		$892.25	$1,135.59	$1,368.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,057.10 / $1,378.84 / $1,836.21	Professional		$1,057.10	$1,378.84	$1,836.21
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 $1,138.04 / $1,550.78 / $2,297.96	Professional		$1,138.04	$1,550.78	$2,297.96