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 $977.24 / $1,059.71 / $1,865.45	Professional		$977.24	$1,059.71	$1,865.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.40 / $1,713.88 / $2,127.60	Professional		$1,068.40	$1,713.88	$2,127.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,604.02	Professional		$32.34	$32.34	$1,604.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,162.64 / $1,479.73 / $1,707.04	Facility		$1,162.64	$1,479.73	$1,707.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,257.59 / $1,516.06 / $2,127.60	Professional		$1,257.59	$1,516.06	$2,127.60
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 $1,283.23 / $1,717.09 / $2,403.27	Professional		$1,283.23	$1,717.09	$2,403.27