Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $7,762.47	Facility		$1,096.48	$1,148.15	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,412.54	Professional		$630.96	$741.31	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,071.52 / $2,570.40	Professional		$630.96	$1,071.52	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $1,548.82	Facility		$691.83	$977.24	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,778.28	Professional		$724.44	$1,122.02	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,606.93 / $8,511.38	Facility		$645.65	$6,606.93	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,445.44	Professional		$758.58	$1,023.29	$1,445.44