Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.14 / $5,000.27 / $7,838.38	Facility		$929.14	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.14 / $1,364.56 / $4,265.22	Professional		$929.14	$1,364.56	$4,265.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.85 / $1,065.66 / $1,458.42	Professional		$576.85	$1,065.66	$1,458.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,200.53 / $1,620.71	Professional		$32.34	$1,200.53	$1,620.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.71 / $923.57 / $1,300.00	Facility		$698.71	$923.57	$1,300.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $568.35 / $1,065.66 / $1,497.69	Professional		$568.35	$1,065.66	$1,497.69
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $7,773.00 / $13,891.00	Facility		$790.00	$7,773.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $748.15 / $1,065.02 / $1,594.69	Professional		$748.15	$1,065.02	$1,594.69