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 $1,237.78 / $1,398.09 / $4,807.00	Professional		$1,237.78	$1,398.09	$4,807.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,155.17 / $1,939.00 / $2,443.83	Professional		$1,155.17	$1,939.00	$2,443.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,107.62	Professional		$32.34	$32.34	$2,107.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,064.56 / $1,608.69 / $3,675.00	Facility		$1,064.56	$1,608.69	$3,675.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,292.67 / $2,003.63 / $3,379.76	Professional		$1,292.67	$2,003.63	$3,379.76
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 $1,414.08 / $1,884.69 / $2,822.02	Professional		$1,414.08	$1,884.69	$2,822.02