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 / $8,942.39	Facility		$1,000.00	$7,838.38	$8,942.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.63 / $908.51 / $1,512.96	Professional		$852.63	$908.51	$1,512.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.53 / $1,359.03 / $1,720.75	Professional		$817.53	$1,359.03	$1,720.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $267.72 / $1,433.80	Professional		$32.34	$267.72	$1,433.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $915.27 / $1,164.88 / $1,340.87	Facility		$915.27	$1,164.88	$1,340.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,041.93 / $1,359.03 / $1,720.75	Professional		$1,041.93	$1,359.03	$1,720.75
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 $1,028.99 / $1,410.76 / $2,149.60	Professional		$1,028.99	$1,410.76	$2,149.60