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 $737.02 / $822.57 / $1,346.38	Professional		$737.02	$822.57	$1,346.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.86 / $1,226.78 / $1,652.44	Professional		$710.86	$1,226.78	$1,652.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $230.27 / $1,244.09	Professional		$32.34	$230.27	$1,244.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $844.60 / $1,074.93 / $1,242.41	Facility		$844.60	$1,074.93	$1,242.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $940.53 / $1,226.78 / $1,652.44	Professional		$940.53	$1,226.78	$1,652.44
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 $1,030.00 / $1,320.12 / $1,870.29	Professional		$1,030.00	$1,320.12	$1,870.29