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 $1,040.89 / $1,195.90 / $1,761.25	Professional		$1,040.89	$1,195.90	$1,761.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.34 / $1,749.73 / $2,157.94	Professional		$953.34	$1,749.73	$2,157.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $309.12 / $1,669.09	Professional		$32.34	$309.12	$1,669.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,214.81 / $1,546.13 / $1,700.38	Facility		$1,214.81	$1,546.13	$1,700.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,278.27 / $1,749.73 / $2,157.94	Professional		$1,278.27	$1,749.73	$2,157.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,616.00 / $17,636.00	Facility		$3,085.00	$4,616.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,381.04 / $1,765.40 / $2,514.23	Professional		$1,381.04	$1,765.40	$2,514.23