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 $897.76 / $960.59 / $1,709.85	Professional		$897.76	$960.59	$1,709.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.47 / $1,476.91 / $1,879.04	Professional		$1,068.47	$1,476.91	$1,879.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $300.19 / $1,620.38	Professional		$32.34	$300.19	$1,620.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $963.47 / $1,226.23 / $1,408.69	Facility		$963.47	$1,226.23	$1,408.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,132.30 / $1,476.91 / $1,879.04	Professional		$1,132.30	$1,476.91	$1,879.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,165.33 / $1,477.50 / $2,223.07	Professional		$1,165.33	$1,477.50	$2,223.07