Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,095.00 / $7,838.38	Facility		$1,000.00	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.88 / $1,321.19 / $2,728.90	Professional		$1,129.88	$1,321.19	$2,728.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.03 / $1,807.54 / $2,331.38	Professional		$1,205.03	$1,807.54	$2,331.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,021.87	Professional		$32.34	$32.34	$2,021.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,181.25 / $1,426.47 / $1,913.25	Facility		$1,181.25	$1,426.47	$1,913.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,260.15 / $1,905.30 / $3,207.95	Professional		$1,260.15	$1,905.30	$3,207.95
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 $1,345.47 / $1,892.09 / $2,942.76	Professional		$1,345.47	$1,892.09	$2,942.76