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 $1,207.99 / $1,379.67 / $4,972.00	Professional		$1,207.99	$1,379.67	$4,972.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,189.84 / $1,954.77 / $2,579.52	Professional		$1,189.84	$1,954.77	$2,579.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,034.65	Professional		$32.34	$32.34	$2,034.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,208.04 / $1,680.00 / $3,002.20	Facility		$1,208.04	$1,680.00	$3,002.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.12 / $2,089.58 / $3,285.14	Professional		$1,348.12	$2,089.58	$3,285.14
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 $1,507.17 / $2,019.58 / $3,141.03	Professional		$1,507.17	$2,019.58	$3,141.03