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 $846.73 / $1,098.33 / $1,524.71	Professional		$846.73	$1,098.33	$1,524.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.60 / $1,420.00 / $2,065.03	Professional		$952.60	$1,420.00	$2,065.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $204.87 / $1,707.28	Professional		$32.34	$204.87	$1,707.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $934.50 / $1,217.66 / $3,780.00	Facility		$934.50	$1,217.66	$3,780.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,020.62 / $1,533.50 / $2,464.71	Professional		$1,020.62	$1,533.50	$2,464.71
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $11,259.00 / $16,897.00	Facility		$899.00	$11,259.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.65 / $1,694.42 / $2,563.19	Professional		$1,224.65	$1,694.42	$2,563.19