Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,095.00 / $7,838.38	Facility		$1,000.00	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.07 / $1,373.46 / $6,059.76	Professional		$1,118.07	$1,373.46	$6,059.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.84 / $1,497.44 / $1,885.76	Professional		$950.84	$1,497.44	$1,885.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,642.98 / $1,794.29	Professional		$32.34	$1,642.98	$1,794.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.45 / $1,431.03 / $1,955.06	Facility		$1,044.45	$1,431.03	$1,955.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,131.50 / $1,711.36 / $2,254.10	Professional		$1,131.50	$1,711.36	$2,254.10
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $9,127.00 / $13,891.00	Facility		$790.00	$9,127.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,162.92 / $1,627.78 / $2,159.30	Professional		$1,162.92	$1,627.78	$2,159.30