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 / $8,644.27	Facility		$1,000.00	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.64 / $868.93 / $1,497.31	Professional		$843.64	$868.93	$1,497.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.96 / $1,282.30 / $1,655.23	Professional		$808.96	$1,282.30	$1,655.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,418.96	Professional		$32.34	$32.34	$1,418.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $934.18 / $1,188.95 / $1,334.51	Facility		$934.18	$1,188.95	$1,334.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $973.51 / $1,269.79 / $1,655.23	Professional		$973.51	$1,269.79	$1,655.23
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 $1,087.20 / $1,321.33 / $2,000.28	Professional		$1,087.20	$1,321.33	$2,000.28