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 $796.62 / $821.35 / $1,346.98	Professional		$796.62	$821.35	$1,346.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.01 / $1,243.94 / $1,622.13	Professional		$835.01	$1,243.94	$1,622.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $239.37 / $1,276.50	Professional		$32.34	$239.37	$1,276.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $753.55 / $979.37 / $1,224.98	Facility		$753.55	$979.37	$1,224.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $979.37 / $1,277.44 / $1,622.13	Professional		$979.37	$1,277.44	$1,622.13
United Facility/Professional Facility Modifier Low / Median / High Price $7,315.00 / $11,259.00 / $12,494.00	Facility		$7,315.00	$11,259.00	$12,494.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.54 / $1,253.42 / $1,945.61	Professional		$1,011.54	$1,253.42	$1,945.61