Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.46 / $5,000.27 / $7,838.38	Facility		$765.46	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.39 / $765.46 / $3,685.00	Professional		$703.39	$765.46	$3,685.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.94 / $1,135.41 / $1,441.68	Professional		$756.94	$1,135.41	$1,441.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,244.72	Professional		$32.34	$32.34	$1,244.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $673.03 / $888.79 / $1,173.25	Facility		$673.03	$888.79	$1,173.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $790.71 / $1,173.25 / $1,952.16	Professional		$790.71	$1,173.25	$1,952.16
United Facility/Professional Facility Modifier Low / Median / High Price $6,489.22 / $9,127.00 / $10,150.00	Facility		$6,489.22	$9,127.00	$10,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $820.44 / $1,139.50 / $1,757.70	Professional		$820.44	$1,139.50	$1,757.70