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 $952.86 / $1,084.29 / $1,610.38	Professional		$952.86	$1,084.29	$1,610.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.56 / $1,533.84 / $1,923.88	Professional		$871.56	$1,533.84	$1,923.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $282.80 / $1,526.12	Professional		$32.34	$282.80	$1,526.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $988.44 / $1,258.01 / $1,532.14	Facility		$988.44	$1,258.01	$1,532.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,169.58 / $1,533.84 / $1,923.88	Professional		$1,169.58	$1,533.84	$1,923.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,210.02 / $1,559.24 / $2,296.35	Professional		$1,210.02	$1,559.24	$2,296.35