Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,770.59 / $7,838.38	Facility		$1,000.00	$2,770.59	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,484.48 / $2,770.59 / $4,534.14	Professional		$2,484.48	$2,770.59	$4,534.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,255.41 / $3,821.74 / $5,011.47	Professional		$2,255.41	$3,821.74	$5,011.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,296.89	Professional		$32.34	$32.34	$4,296.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,046.46 / $3,031.55 / $3,949.13	Facility		$2,046.46	$3,031.55	$3,949.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,547.83 / $4,045.55 / $6,742.92	Professional		$2,547.83	$4,045.55	$6,742.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $15,131.00 / $21,396.00	Facility		$1,035.00	$15,131.00	$21,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,717.87 / $3,742.12 / $5,603.23	Professional		$2,717.87	$3,742.12	$5,603.23