Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,859.56 / $7,838.38	Facility		$1,000.00	$2,859.56	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,099.44 / $2,859.56 / $7,779.00	Professional		$2,099.44	$2,859.56	$7,779.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,267.37 / $3,514.43 / $5,123.60	Professional		$2,267.37	$3,514.43	$5,123.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,111.35	Professional		$32.34	$32.34	$4,111.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,565.58 / $3,322.48 / $4,250.00	Facility		$2,565.58	$3,322.48	$4,250.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,458.42 / $3,700.38 / $6,961.21	Professional		$2,458.42	$3,700.38	$6,961.21
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 $2,756.85 / $3,875.14 / $5,802.40	Professional		$2,756.85	$3,875.14	$5,802.40