Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,095.00 / $7,838.38	Facility		$1,000.00	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.46 / $1,487.66 / $1,487.66	Professional		$1,052.46	$1,487.66	$1,487.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,236.05 / $1,612.24 / $2,039.96	Professional		$1,236.05	$1,612.24	$2,039.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,348.55	Professional		$32.34	$32.34	$2,348.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $920.37 / $1,866.29 / $2,154.02	Facility		$920.37	$1,866.29	$2,154.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,278.29 / $1,747.16 / $2,097.28	Professional		$1,278.29	$1,747.16	$2,097.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $5,060.00 / $17,636.00	Facility		$3,085.00	$5,060.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,368.69 / $1,750.65 / $2,240.02	Professional		$1,368.69	$1,750.65	$2,240.02