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 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.32 / $1,110.07 / $1,844.58	Professional		$1,007.32	$1,110.07	$1,844.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.74 / $1,663.89 / $2,048.73	Professional		$972.74	$1,663.89	$2,048.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $315.09 / $1,701.02	Professional		$32.34	$315.09	$1,701.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,050.58 / $1,337.10 / $1,669.79	Facility		$1,050.58	$1,337.10	$1,669.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,275.65 / $1,663.89 / $2,048.73	Professional		$1,275.65	$1,663.89	$2,048.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,379.50 / $1,738.17 / $2,494.83	Professional		$1,379.50	$1,738.17	$2,494.83