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 $581.72 / $649.82 / $1,391.11	Professional		$581.72	$649.82	$1,391.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.00 / $934.08 / $1,148.06	Professional		$546.00	$934.08	$1,148.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $173.67 / $936.68	Professional		$32.34	$173.67	$936.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $657.73 / $837.10 / $959.84	Facility		$657.73	$837.10	$959.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $716.13 / $934.08 / $1,148.06	Professional		$716.13	$934.08	$1,148.06
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 $761.96 / $974.60 / $1,384.07	Professional		$761.96	$974.60	$1,384.07