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 $864.98 / $951.62 / $1,463.10	Professional		$864.98	$951.62	$1,463.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.19 / $1,353.53 / $1,669.99	Professional		$792.19	$1,353.53	$1,669.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $256.98 / $1,386.54	Professional		$32.34	$256.98	$1,386.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $895.47 / $1,139.68 / $1,361.64	Facility		$895.47	$1,139.68	$1,361.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,037.71 / $1,353.53 / $1,669.99	Professional		$1,037.71	$1,353.53	$1,669.99
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 $1,124.50 / $1,416.87 / $2,036.61	Professional		$1,124.50	$1,416.87	$2,036.61