Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,764.91 / $7,838.38	Facility		$1,000.00	$2,764.91	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,119.01 / $2,764.91 / $8,166.00	Professional		$2,119.01	$2,764.91	$8,166.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,266.44 / $3,513.00 / $4,949.08	Professional		$2,266.44	$3,513.00	$4,949.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,290.24	Professional		$32.34	$32.34	$4,290.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,480.30 / $3,119.77 / $3,960.81	Facility		$2,480.30	$3,119.77	$3,960.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,582.91 / $3,626.32 / $6,729.64	Professional		$2,582.91	$3,626.32	$6,729.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,657.00 / $21,608.00 / $23,542.00	Facility		$1,657.00	$21,608.00	$23,542.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,624.82 / $3,642.30 / $5,597.61	Professional		$2,624.82	$3,642.30	$5,597.61