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 $772.77 / $855.20 / $1,305.93	Professional		$772.77	$855.20	$1,305.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.27 / $1,211.93 / $1,490.17	Professional		$707.27	$1,211.93	$1,490.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $229.06 / $1,237.58	Professional		$32.34	$229.06	$1,237.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $806.35 / $1,026.27 / $1,232.99	Facility		$806.35	$1,026.27	$1,232.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $929.14 / $1,211.93 / $1,490.17	Professional		$929.14	$1,211.93	$1,490.17
United Facility/Professional Facility Modifier Low / Median / High Price $6,602.00 / $9,127.00 / $10,150.00	Facility		$6,602.00	$9,127.00	$10,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.50 / $1,263.90 / $1,814.63	Professional		$1,020.50	$1,263.90	$1,814.63