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 $813.98 / $872.29 / $1,489.55	Professional		$813.98	$872.29	$1,489.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.28 / $1,373.38 / $1,724.71	Professional		$952.28	$1,373.38	$1,724.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $262.14 / $1,411.61	Professional		$32.34	$262.14	$1,411.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $884.68 / $1,125.96 / $1,345.90	Facility		$884.68	$1,125.96	$1,345.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,056.16 / $1,377.60 / $1,724.71	Professional		$1,056.16	$1,377.60	$1,724.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.24 / $1,401.76 / $2,104.38	Professional		$1,050.24	$1,401.76	$2,104.38