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 $855.90 / $1,158.00 / $1,634.58	Professional		$855.90	$1,158.00	$1,634.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.14 / $1,324.14 / $1,324.14	Facility		$1,324.14	$1,324.14	$1,324.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.56 / $1,725.39 / $2,170.84	Professional		$1,183.56	$1,725.39	$2,170.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $653.54 / $1,500.00	Professional		$60.00	$653.54	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $855.90 / $1,195.50 / $1,634.58	Facility		$855.90	$1,195.50	$1,634.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,119.58 / $1,630.92 / $2,033.25	Professional		$1,119.58	$1,630.92	$2,033.25
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $4,616.00 / $17,636.00	Facility		$755.00	$4,616.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,143.57 / $1,531.02 / $2,191.46	Professional		$1,143.57	$1,531.02	$2,191.46