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 $1,000.56 / $1,111.61 / $1,692.69	Professional		$1,000.56	$1,111.61	$1,692.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.45 / $1,579.61 / $1,939.50	Professional		$916.45	$1,579.61	$1,939.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $297.04 / $1,604.12	Professional		$32.34	$297.04	$1,604.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,027.78 / $1,308.08 / $1,589.46	Facility		$1,027.78	$1,308.08	$1,589.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,211.04 / $1,579.61 / $1,939.50	Professional		$1,211.04	$1,579.61	$1,939.50
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 $1,276.67 / $1,632.94 / $2,355.00	Professional		$1,276.67	$1,632.94	$2,355.00