Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,000.27 / $7,838.38	Facility		$1,000.00	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.77 / $970.75 / $1,961.41	Professional		$305.77	$970.75	$1,961.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.05 / $612.17 / $1,803.35	Professional		$370.05	$612.17	$1,803.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $312.17 / $1,625.89	Professional		$32.34	$312.17	$1,625.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.22 / $931.42 / $1,355.54	Facility		$256.22	$931.42	$1,355.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $386.14 / $612.17 / $1,803.35	Professional		$386.14	$612.17	$1,803.35
United Facility/Professional Facility Modifier Low / Median / High Price $9,028.00 / $15,131.00 / $16,269.00	Facility		$9,028.00	$15,131.00	$16,269.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.14 / $1,536.64 / $2,206.94	Professional		$1,055.14	$1,536.64	$2,206.94