Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,000.27 / $7,838.38	Facility		$1,000.00	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.14 / $682.90 / $1,040.67	Professional		$616.14	$682.90	$1,040.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.50 / $963.01 / $1,182.74	Professional		$563.50	$963.01	$1,182.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $182.38 / $986.22	Professional		$32.34	$182.38	$986.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $636.50 / $810.10 / $980.35	Facility		$636.50	$810.10	$980.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $738.31 / $963.01 / $1,182.74	Professional		$738.31	$963.01	$1,182.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $8,422.00	Facility		$4,834.00	$6,599.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.00 / $996.06 / $1,442.54	Professional		$814.00	$996.06	$1,442.54