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 $907.68 / $1,025.15 / $1,727.28	Professional		$907.68	$1,025.15	$1,727.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.23 / $1,596.16 / $1,921.04	Professional		$991.23	$1,596.16	$1,921.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,486.71	Professional		$32.34	$32.34	$1,486.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,108.28 / $1,410.54 / $1,624.00	Facility		$1,108.28	$1,410.54	$1,624.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,164.46 / $1,405.42 / $1,921.04	Professional		$1,164.46	$1,405.42	$1,921.04
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 $1,207.04 / $1,415.25 / $2,200.32	Professional		$1,207.04	$1,415.25	$2,200.32