Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.89 / $7,838.38 / $7,838.38	Facility		$915.89	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.89 / $1,111.29 / $1,519.22	Professional		$915.89	$1,111.29	$1,519.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,404.20 / $1,404.20 / $1,404.20	Facility		$1,404.20	$1,404.20	$1,404.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $1,109.10 / $1,109.10	Professional		$1,109.10	$1,109.10	$1,109.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,951.13	Professional		$32.34	$32.34	$1,951.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,007.60 / $1,280.60 / $1,548.78	Facility		$1,007.60	$1,280.60	$1,548.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $1,401.91 / $3,213.78	Professional		$1,109.10	$1,401.91	$3,213.78
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $4,616.00 / $17,636.00	Facility		$755.00	$4,616.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,241.23 / $1,729.52 / $2,592.71	Professional		$1,241.23	$1,729.52	$2,592.71