Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.05 / $1,228.18 / $1,953.49	Professional		$913.05	$1,228.18	$1,953.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.03 / $1,480.48 / $2,144.67	Professional		$1,135.03	$1,480.48	$2,144.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $344.05 / $1,851.27	Professional		$32.34	$344.05	$1,851.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $902.20 / $1,148.27 / $1,396.75	Facility		$902.20	$1,148.27	$1,396.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,135.03 / $1,566.04 / $2,144.67	Professional		$1,135.03	$1,566.04	$2,144.67
United Facility/Professional Facility Modifier Low / Median / High Price $7,315.00 / $11,259.00 / $12,494.00	Facility		$7,315.00	$11,259.00	$12,494.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.10 / $1,628.00 / $2,402.64	Professional		$1,156.10	$1,628.00	$2,402.64