Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $8,942.39	Facility		$1,000.00	$7,838.38	$8,942.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.69 / $2,286.89 / $3,682.86	Professional		$685.69	$2,286.89	$3,682.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.04 / $2,590.54 / $4,906.81	Professional		$812.04	$2,590.54	$4,906.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $422.10 / $3,517.52	Professional		$32.34	$422.10	$3,517.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $405.33 / $1,118.59 / $3,777.48	Facility		$405.33	$1,118.59	$3,777.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $890.50 / $2,613.36 / $5,419.63	Professional		$890.50	$2,613.36	$5,419.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $8,422.00	Facility		$4,834.00	$6,599.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,072.07 / $4,131.06 / $5,692.62	Professional		$3,072.07	$4,131.06	$5,692.62