Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.07 / $473.82 / $642.29	Professional		$376.07	$473.82	$642.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.64 / $509.64 / $1,651.99	Facility		$509.64	$509.64	$1,651.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.01 / $588.40 / $791.88	Professional		$409.01	$588.40	$791.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $679.04	Professional		$32.34	$32.34	$679.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.33 / $496.56 / $755.27	Facility		$265.33	$496.56	$755.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $425.38 / $642.48 / $1,194.51	Professional		$425.38	$642.48	$1,194.51
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.86 / $612.95 / $932.20	Professional		$460.86	$612.95	$932.20