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 $626.37 / $686.16 / $2,183.19	Professional		$626.37	$686.16	$2,183.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.00 / $994.35 / $1,240.22	Professional		$604.00	$994.35	$1,240.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $978.13 / $1,057.02	Professional		$32.34	$978.13	$1,057.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $805.58 / $805.58 / $805.58	Facility		$805.58	$805.58	$805.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $754.29 / $983.86 / $1,240.22	Professional		$754.29	$983.86	$1,240.22
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 $890.49 / $1,070.83 / $1,546.82	Professional		$890.49	$1,070.83	$1,546.82