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 $735.71 / $818.51 / $1,346.59	Professional		$735.71	$818.51	$1,346.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.40 / $1,224.70 / $1,503.37	Professional		$710.40	$1,224.70	$1,503.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $230.30 / $1,243.61	Professional		$32.34	$230.30	$1,243.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $838.84 / $1,067.60 / $1,235.29	Facility		$838.84	$1,067.60	$1,235.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $938.93 / $1,224.70 / $1,503.37	Professional		$938.93	$1,224.70	$1,503.37
United Facility/Professional Facility Modifier Low / Median / High Price $7,315.00 / $11,259.00 / $12,494.00	Facility		$7,315.00	$11,259.00	$12,494.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.00 / $1,340.38 / $1,826.48	Professional		$1,022.00	$1,340.38	$1,826.48