Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $7,762.47	Facility		$1,000.00	$1,047.13	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $3,311.31	Professional		$660.69	$776.25	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,230.27	Professional		$776.25	$1,023.29	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,000.00 / $2,454.71	Facility		$776.25	$1,000.00	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,230.27	Professional		$758.58	$954.99	$1,230.27
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 $741.31 / $977.24 / $1,318.26	Professional		$741.31	$977.24	$1,318.26