Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,000.27 / $7,838.38	Facility		$1,000.00	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.18 / $842.71 / $1,351.23	Professional		$772.18	$842.71	$1,351.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.87 / $1,212.04 / $1,561.44	Professional		$825.87	$1,212.04	$1,561.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $238.45 / $1,280.53	Professional		$32.34	$238.45	$1,280.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.89 / $1,034.58 / $1,184.29	Facility		$812.89	$1,034.58	$1,184.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $945.25 / $1,232.93 / $1,561.44	Professional		$945.25	$1,232.93	$1,561.44
United Facility/Professional Facility Modifier Low / Median / High Price $7,315.00 / $11,259.00 / $16,897.00	Facility		$7,315.00	$11,259.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $962.02 / $1,291.94 / $1,902.68	Professional		$962.02	$1,291.94	$1,902.68