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 $801.74 / $845.25 / $1,420.63	Professional		$801.74	$845.25	$1,420.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.61 / $1,266.28 / $1,608.37	Professional		$769.61	$1,266.28	$1,608.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $251.53 / $1,346.30	Professional		$32.34	$251.53	$1,346.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $892.91 / $1,136.44 / $1,274.58	Facility		$892.91	$1,136.44	$1,274.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $970.82 / $1,266.28 / $1,608.37	Professional		$970.82	$1,266.28	$1,608.37
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 $1,047.15 / $1,373.35 / $2,015.30	Professional		$1,047.15	$1,373.35	$2,015.30