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 $1,014.67 / $1,029.07 / $1,761.61	Professional		$1,014.67	$1,029.07	$1,761.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $963.16 / $1,550.01 / $1,974.28	Professional		$963.16	$1,550.01	$1,974.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $310.97 / $1,669.43	Professional		$32.34	$310.97	$1,669.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $985.59 / $1,254.39 / $1,455.42	Facility		$985.59	$1,254.39	$1,455.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,188.33 / $1,550.01 / $1,974.28	Professional		$1,188.33	$1,550.01	$1,974.28
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 $1,205.67 / $1,557.39 / $2,461.58	Professional		$1,205.67	$1,557.39	$2,461.58