Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $7,838.38 / $7,838.38	Facility		$825.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $825.00 / $825.00	Professional		$825.00	$825.00	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.00 / $546.00 / $546.00	Professional		$546.00	$546.00	$546.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,500.00 / $1,500.00	Professional		$85.00	$1,500.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $825.00 / $825.00	Facility		$825.00	$825.00	$825.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $546.00 / $546.00 / $546.00	Professional		$546.00	$546.00	$546.00
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