Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,365.00 / $7,838.38	Facility		$1,000.00	$5,365.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.40 / $595.80 / $720.20	Professional		$373.40	$595.80	$720.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.15 / $781.32 / $1,206.43	Professional		$409.15	$781.32	$1,206.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $617.02	Professional		$32.34	$32.34	$617.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $689.72 / $877.83 / $984.07	Facility		$689.72	$877.83	$984.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $485.53 / $748.76 / $1,206.43	Professional		$485.53	$748.76	$1,206.43
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 $587.00 / $826.20 / $1,111.58	Professional		$587.00	$826.20	$1,111.58