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 $784.65 / $1,023.52 / $5,361.00	Professional		$784.65	$1,023.52	$5,361.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.80 / $1,268.70 / $2,001.50	Professional		$829.80	$1,268.70	$2,001.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,761.26	Professional		$32.34	$32.34	$1,761.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $817.80 / $1,165.33 / $1,955.00	Facility		$817.80	$1,165.33	$1,955.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $883.90 / $1,332.61 / $2,694.18	Professional		$883.90	$1,332.61	$2,694.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $5,089.00 / $17,636.00	Facility		$3,085.00	$5,089.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $960.78 / $1,378.08 / $2,129.77	Professional		$960.78	$1,378.08	$2,129.77