Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.96 / $2,095.00 / $7,838.38	Facility		$864.96	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.96 / $1,282.39 / $4,157.64	Professional		$864.96	$1,282.39	$4,157.64
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 $589.83 / $1,105.93 / $1,418.79	Professional		$589.83	$1,105.93	$1,418.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,137.09 / $1,535.08	Professional		$32.34	$1,137.09	$1,535.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $674.84 / $914.79 / $2,100.00	Facility		$674.84	$914.79	$2,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $589.83 / $1,105.93 / $1,418.79	Professional		$589.83	$1,105.93	$1,418.79
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 $771.63 / $1,070.84 / $1,563.02	Professional		$771.63	$1,070.84	$1,563.02