Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,762.47 / $7,762.47	Facility		$1,000.00	$7,762.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $416.87	Professional		$281.84	$331.13	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $588.84	Professional		$338.84	$478.63	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $380.19 / $676.08	Professional		$60.26	$380.19	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $524.81 / $1,047.13	Facility		$186.21	$524.81	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $588.84	Professional		$302.00	$478.63	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $645.65	Professional		$309.03	$398.11	$645.65