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 $766.18 / $877.65 / $1,445.16	Professional		$766.18	$877.65	$1,445.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $1,298.84 / $1,625.86	Professional		$936.00	$1,298.84	$1,625.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $246.56 / $1,327.62	Professional		$32.34	$246.56	$1,327.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $941.51 / $1,198.29 / $1,301.05	Facility		$941.51	$1,198.29	$1,301.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $996.79 / $1,300.16 / $1,625.86	Professional		$996.79	$1,300.16	$1,625.86
United Facility/Professional Facility Modifier Low / Median / High Price $6,602.00 / $9,127.00 / $10,150.00	Facility		$6,602.00	$9,127.00	$10,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.09 / $1,332.66 / $2,007.38	Professional		$1,052.09	$1,332.66	$2,007.38