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 $1,032.53 / $1,181.33 / $3,747.00	Professional		$1,032.53	$1,181.33	$3,747.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.21 / $1,720.63 / $2,106.46	Professional		$971.21	$1,720.63	$2,106.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,832.77	Professional		$32.34	$32.34	$1,832.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,062.90 / $1,528.76 / $1,976.36	Facility		$1,062.90	$1,528.76	$1,976.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,110.08 / $1,758.00 / $2,873.46	Professional		$1,110.08	$1,758.00	$2,873.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $15,131.00 / $21,396.00	Facility		$1,035.00	$15,131.00	$21,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,159.08 / $1,663.62 / $2,377.96	Professional		$1,159.08	$1,663.62	$2,377.96