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 $904.42 / $942.22 / $1,714.68	Professional		$904.42	$942.22	$1,714.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $986.05 / $1,519.58 / $1,863.35	Professional		$986.05	$1,519.58	$1,863.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $274.45 / $1,476.24	Professional		$32.34	$274.45	$1,476.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,093.81 / $1,392.12 / $1,520.79	Facility		$1,093.81	$1,392.12	$1,520.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,155.97 / $1,395.06 / $1,863.35	Professional		$1,155.97	$1,395.06	$1,863.35
United Facility/Professional Facility Modifier Low / Median / High Price $6,212.47 / $9,127.00 / $13,766.26	Facility		$6,212.47	$9,127.00	$13,766.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,210.05 / $1,498.74 / $2,207.23	Professional		$1,210.05	$1,498.74	$2,207.23