Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.89 / $2,095.00 / $7,838.38	Facility		$922.89	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.89 / $1,367.42 / $4,652.85	Professional		$922.89	$1,367.42	$4,652.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $3,800.00 / $3,800.00	Facility		$3,800.00	$3,800.00	$3,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.23 / $1,185.44 / $1,533.48	Professional		$632.23	$1,185.44	$1,533.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,223.55 / $1,651.79	Professional		$32.34	$1,223.55	$1,651.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $719.70 / $1,020.50 / $2,100.00	Facility		$719.70	$1,020.50	$2,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $632.23 / $1,185.44 / $1,533.48	Professional		$632.23	$1,185.44	$1,533.48
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $5,971.00 / $8,422.00	Facility		$639.00	$5,971.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.69 / $1,167.39 / $1,746.69	Professional		$852.69	$1,167.39	$1,746.69