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 $924.02 / $925.22 / $1,246.73	Professional		$924.02	$925.22	$1,246.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $884.42 / $1,383.50 / $1,795.29	Professional		$884.42	$1,383.50	$1,795.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $289.85 / $1,556.88	Professional		$32.34	$289.85	$1,556.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $941.53 / $1,198.32 / $1,359.22	Facility		$941.53	$1,198.32	$1,359.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,060.68 / $1,383.50 / $1,795.29	Professional		$1,060.68	$1,383.50	$1,795.29
United Facility/Professional Facility Modifier Low / Median / High Price $9,028.00 / $15,131.00 / $16,269.00	Facility		$9,028.00	$15,131.00	$16,269.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,119.61 / $1,483.48 / $2,212.78	Professional		$1,119.61	$1,483.48	$2,212.78