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 $617.51 / $686.70 / $1,042.83	Professional		$617.51	$686.70	$1,042.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.72 / $967.92 / $1,187.08	Professional		$564.72	$967.92	$1,187.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $182.87 / $988.27	Professional		$32.34	$182.87	$988.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $627.75 / $798.97 / $975.34	Facility		$627.75	$798.97	$975.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $742.07 / $967.92 / $1,187.08	Professional		$742.07	$967.92	$1,187.08
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 $809.50 / $1,004.85 / $1,445.70	Professional		$809.50	$1,004.85	$1,445.70