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 / $8,763.29	Facility		$1,000.00	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.19 / $655.20 / $1,071.25	Professional		$632.19	$655.20	$1,071.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.72 / $990.94 / $1,291.11	Professional		$662.72	$990.94	$1,291.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $190.21 / $1,015.20	Professional		$32.34	$190.21	$1,015.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $578.92 / $780.39 / $1,000.34	Facility		$578.92	$780.39	$1,000.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $780.39 / $1,017.90 / $1,291.11	Professional		$780.39	$1,017.90	$1,291.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.68 / $1,106.64 / $1,547.09	Professional		$808.68	$1,106.64	$1,547.09