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 $1,875.00 / $1,875.00 / $5,548.78	Professional		$1,875.00	$1,875.00	$5,548.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.00 / $546.00 / $6,588.36	Professional		$490.00	$546.00	$6,588.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $70.00 / $1,500.00	Professional		$45.00	$70.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $2,700.00	Facility		$1,875.00	$1,875.00	$2,700.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $490.00 / $546.00 / $6,588.36	Professional		$490.00	$546.00	$6,588.36
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