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 $955.61 / $1,090.03 / $1,817.19	Professional		$955.61	$1,090.03	$1,817.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.83 / $1,679.87 / $2,105.94	Professional		$1,042.83	$1,679.87	$2,105.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,563.84	Professional		$32.34	$32.34	$1,563.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,131.70 / $1,440.35 / $1,656.38	Facility		$1,131.70	$1,440.35	$1,656.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,225.07 / $1,477.42 / $2,105.94	Professional		$1,225.07	$1,477.42	$2,105.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,503.00 / $15,732.00	Facility		$3,085.00	$3,503.00	$15,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,279.61 / $1,599.41 / $2,339.28	Professional		$1,279.61	$1,599.41	$2,339.28