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 / $8,644.27	Facility		$1,000.00	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.76 / $1,015.65 / $1,549.29	Professional		$914.76	$1,015.65	$1,549.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.12 / $1,443.70 / $1,774.14	Professional		$838.12	$1,443.70	$1,774.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $271.76 / $1,468.22	Professional		$32.34	$271.76	$1,468.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $968.60 / $1,232.76 / $1,481.32	Facility		$968.60	$1,232.76	$1,481.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,106.83 / $1,443.70 / $1,774.14	Professional		$1,106.83	$1,443.70	$1,774.14
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 $1,236.15 / $1,500.95 / $2,155.13	Professional		$1,236.15	$1,500.95	$2,155.13