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 / $8,942.39	Facility		$1,000.00	$7,838.38	$8,942.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.98 / $830.86 / $1,314.25	Professional		$789.98	$830.86	$1,314.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.17 / $1,188.90 / $1,480.74	Professional		$718.17	$1,188.90	$1,480.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $231.56 / $1,245.48	Professional		$32.34	$231.56	$1,245.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $815.90 / $1,038.42 / $1,199.35	Facility		$815.90	$1,038.42	$1,199.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $911.49 / $1,188.90 / $1,480.74	Professional		$911.49	$1,188.90	$1,480.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $975.14 / $1,235.19 / $1,824.11	Professional		$975.14	$1,235.19	$1,824.11