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 / $8,763.29	Facility		$1,000.00	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.53 / $993.85 / $1,518.42	Professional		$897.53	$993.85	$1,518.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.93 / $1,412.40 / $1,737.12	Professional		$821.93	$1,412.40	$1,737.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $266.42 / $1,438.96	Professional		$32.34	$266.42	$1,438.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $960.53 / $1,222.49 / $1,412.27	Facility		$960.53	$1,222.49	$1,412.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,082.83 / $1,412.40 / $1,737.12	Professional		$1,082.83	$1,412.40	$1,737.12
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 $1,132.61 / $1,464.65 / $2,116.42	Professional		$1,132.61	$1,464.65	$2,116.42