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 $906.97 / $955.88 / $1,726.04	Professional		$906.97	$955.88	$1,726.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $990.49 / $1,556.21 / $1,907.11	Professional		$990.49	$1,556.21	$1,907.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,484.56	Professional		$32.34	$32.34	$1,484.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,143.92 / $1,455.89 / $1,575.32	Facility		$1,143.92	$1,455.89	$1,575.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,163.63 / $1,403.38 / $1,907.11	Professional		$1,163.63	$1,403.38	$1,907.11
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 $1,204.00 / $1,540.00 / $1,982.87	Professional		$1,204.00	$1,540.00	$1,982.87