Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.51 / $2,095.00 / $7,838.38	Facility		$922.51	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.51 / $1,366.85 / $4,649.08	Professional		$922.51	$1,366.85	$4,649.08
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 $631.70 / $1,184.45 / $1,532.23	Professional		$631.70	$1,184.45	$1,532.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,223.06 / $1,651.13	Professional		$32.34	$1,223.06	$1,651.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $716.70 / $1,016.03 / $2,100.00	Facility		$716.70	$1,016.03	$2,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $631.70 / $1,184.45 / $1,532.23	Professional		$631.70	$1,184.45	$1,532.23
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 $849.26 / $1,162.35 / $1,745.29	Professional		$849.26	$1,162.35	$1,745.29