Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.29 / $622.51 / $900.37	Professional		$578.29	$622.51	$900.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.01 / $1,070.50 / $1,245.41	Professional		$734.01	$1,070.50	$1,245.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,134.56	Professional		$32.34	$32.34	$1,134.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $770.08 / $770.08 / $770.08	Facility		$770.08	$770.08	$770.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $756.45 / $1,070.50 / $1,245.41	Professional		$756.45	$1,070.50	$1,245.41
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 $884.70 / $1,081.30 / $1,553.14	Professional		$884.70	$1,081.30	$1,553.14