Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.82 / $7,838.38 / $7,838.38	Facility		$972.82	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.57 / $876.90 / $1,765.96	Professional		$854.57	$876.90	$1,765.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.28 / $1,464.59 / $1,901.71	Professional		$1,041.28	$1,464.59	$1,901.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $310.23 / $1,673.55	Professional		$32.34	$310.23	$1,673.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $757.68 / $1,122.84 / $1,197.96	Facility		$757.68	$1,122.84	$1,197.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.84 / $1,464.59 / $1,901.71	Professional		$1,122.84	$1,464.59	$1,901.71
United Facility/Professional Facility Modifier Low / Median / High Price $7,315.00 / $11,259.00 / $12,494.00	Facility		$7,315.00	$11,259.00	$12,494.00
United Facility/Professional Professional Modifier Low / Median / High Price $995.90 / $1,487.51 / $2,409.76	Professional		$995.90	$1,487.51	$2,409.76