Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,762.47 / $7,762.47	Facility		$1,000.00	$7,762.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,174.90	Professional		$794.33	$794.33	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $281.84 / $1,412.54	Professional		$60.26	$281.84	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $3,388.44	Facility		$794.33	$1,096.48	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,187.76	Professional		$1,122.02	$1,479.11	$2,187.76