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 / $8,942.39	Facility		$1,000.00	$7,838.38	$8,942.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.55 / $892.79 / $1,486.53	Professional		$871.55	$892.79	$1,486.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.17 / $1,369.41 / $1,777.94	Professional		$916.17	$1,369.41	$1,777.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $263.85 / $1,408.74	Professional		$32.34	$263.85	$1,408.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $883.72 / $1,124.75 / $1,353.55	Facility		$883.72	$1,124.75	$1,353.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,075.69 / $1,403.07 / $1,777.94	Professional		$1,075.69	$1,403.07	$1,777.94
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 $1,096.35 / $1,400.91 / $2,143.25	Professional		$1,096.35	$1,400.91	$2,143.25