Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.60 / $2,145.78 / $7,838.38	Facility		$474.60	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.60 / $693.94 / $693.94	Professional		$474.60	$693.94	$693.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $875.00	Facility		$875.00	$875.00	$875.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $774.86	Professional		$540.82	$540.82	$774.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $50.00 / $593.12	Professional		$39.38	$50.00	$593.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $875.00	Facility		$875.00	$875.00	$875.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $2,250,000.00	Professional		$540.82	$540.82	$2,250,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $2,358.00 / $2,877.00	Facility		$350.00	$2,358.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.14 / $1,046.45 / $1,430.02	Professional		$609.14	$1,046.45	$1,430.02