Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.02 / $605.25 / $918.46	Professional		$540.02	$605.25	$918.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.00 / $868.92 / $1,065.71	Professional		$546.00	$868.92	$1,065.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $161.07 / $870.40	Professional		$32.34	$161.07	$870.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $609.79 / $776.10 / $891.04	Facility		$609.79	$776.10	$891.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $666.17 / $868.92 / $1,065.71	Professional		$666.17	$868.92	$1,065.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $733.01 / $894.85 / $1,283.74	Professional		$733.01	$894.85	$1,283.74