Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,633.58 / $7,838.38	Facility		$1,000.00	$2,633.58	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.16 / $1,415.18 / $2,871.79	Professional		$1,181.16	$1,415.18	$2,871.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.08 / $1,812.14 / $2,473.55	Professional		$1,208.08	$1,812.14	$2,473.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,979.38	Professional		$32.34	$32.34	$1,979.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,251.27 / $1,615.02 / $3,187.50	Facility		$1,251.27	$1,615.02	$3,187.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,322.91 / $1,932.95 / $3,390.96	Professional		$1,322.91	$1,932.95	$3,390.96
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 $1,363.67 / $1,904.62 / $2,964.07	Professional		$1,363.67	$1,904.62	$2,964.07