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 / $8,763.29	Facility		$1,000.00	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.02 / $285.48 / $432.79	Professional		$255.02	$285.48	$432.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.62 / $410.79 / $504.04	Professional		$234.62	$410.79	$504.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $76.08 / $410.14	Professional		$32.34	$76.08	$410.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.50 / $407.83 / $423.60	Facility		$293.50	$407.83	$423.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $314.94 / $410.79 / $504.04	Professional		$314.94	$410.79	$504.04
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 $348.01 / $424.43 / $605.94	Professional		$348.01	$424.43	$605.94