Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.00 / $2,095.00 / $7,838.38	Facility		$977.00	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.00 / $1,198.69 / $5,288.96	Professional		$977.00	$1,198.69	$5,288.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.14 / $1,298.58 / $1,646.49	Professional		$831.14	$1,298.58	$1,646.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,102.17 / $1,566.59	Professional		$32.34	$1,102.17	$1,566.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $909.26 / $1,245.08 / $1,715.06	Facility		$909.26	$1,245.08	$1,715.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,021.92 / $1,472.19 / $1,969.45	Professional		$1,021.92	$1,472.19	$1,969.45
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 $1,010.11 / $1,443.65 / $1,882.39	Professional		$1,010.11	$1,443.65	$1,882.39