Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $8,709.64	Facility		$1,000.00	$1,548.82	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,778.28	Professional		$630.96	$776.25	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,047.13 / $1,380.38	Professional		$562.34	$1,047.13	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,047.13	Professional		$32.36	$33.11	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,698.24	Facility		$707.95	$1,023.29	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,047.13 / $1,380.38	Professional		$562.34	$1,047.13	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $9,120.11 / $32,359.37	Facility		$794.33	$9,120.11	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,659.59	Professional		$794.33	$1,023.29	$1,659.59