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 $1,050.27 / $1,217.93 / $4,042.00	Professional		$1,050.27	$1,217.93	$4,042.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.49 / $1,649.24 / $2,126.77	Professional		$1,099.49	$1,649.24	$2,126.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,817.92	Professional		$32.34	$32.34	$1,817.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,115.29 / $1,486.80 / $1,805.40	Facility		$1,115.29	$1,486.80	$1,805.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,147.23 / $1,722.32 / $2,882.63	Professional		$1,147.23	$1,722.32	$2,882.63
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $9,127.00 / $13,891.00	Facility		$790.00	$9,127.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,247.43 / $1,630.23 / $2,341.37	Professional		$1,247.43	$1,630.23	$2,341.37