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 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.28 / $1,078.86 / $1,683.79	Professional		$991.28	$1,078.86	$1,683.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.77 / $1,550.30 / $1,972.89	Professional		$915.77	$1,550.30	$1,972.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $297.28 / $1,595.69	Professional		$32.34	$297.28	$1,595.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,030.21 / $1,311.18 / $1,524.24	Facility		$1,030.21	$1,311.18	$1,524.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,197.73 / $1,562.25 / $1,972.89	Professional		$1,197.73	$1,562.25	$1,972.89
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 $1,256.01 / $1,582.57 / $2,415.41	Professional		$1,256.01	$1,582.57	$2,415.41