Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,868.22 / $7,838.38	Facility		$1,000.00	$2,868.22	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,572.40 / $2,868.22 / $11,843.00	Professional		$2,572.40	$2,868.22	$11,843.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,789.96 / $4,184.95 / $5,215.55	Professional		$2,789.96	$4,184.95	$5,215.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,455.10	Professional		$32.34	$32.34	$4,455.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,733.19 / $3,582.60 / $4,323.74	Facility		$2,733.19	$3,582.60	$4,323.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,861.89 / $4,324.43 / $6,981.96	Professional		$2,861.89	$4,324.43	$6,981.96
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $11,259.00 / $16,897.00	Facility		$899.00	$11,259.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,036.06 / $4,152.52 / $6,415.60	Professional		$3,036.06	$4,152.52	$6,415.60