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 $946.63 / $1,068.64 / $5,735.22	Professional		$946.63	$1,068.64	$5,735.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.88 / $1,618.03 / $2,103.71	Professional		$1,115.88	$1,618.03	$2,103.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,666.10	Professional		$32.34	$32.34	$1,666.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $946.63 / $1,323.90 / $1,838.02	Facility		$946.63	$1,323.90	$1,838.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,116.54 / $1,708.90 / $2,676.75	Professional		$1,116.54	$1,708.90	$2,676.75
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $11,259.00 / $16,897.00	Facility		$899.00	$11,259.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,247.23 / $1,621.66 / $2,534.48	Professional		$1,247.23	$1,621.66	$2,534.48