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 $1,987.50 / $1,987.50 / $6,407.46	Professional		$1,987.50	$1,987.50	$6,407.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.00 / $546.00 / $5,266.54	Professional		$490.00	$546.00	$5,266.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $691.04 / $1,500.00	Professional		$60.00	$691.04	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $4,140.00	Facility		$1,987.50	$1,987.50	$4,140.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $490.00 / $546.00 / $5,266.54	Professional		$490.00	$546.00	$5,266.54
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