Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.85 / $1,328.36 / $2,271.67	Professional		$1,237.85	$1,328.36	$2,271.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,404.00 / $2,105.89 / $2,628.93	Professional		$1,404.00	$2,105.89	$2,628.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $399.91 / $2,152.81	Professional		$32.34	$399.91	$2,152.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,382.68 / $1,759.77 / $2,048.04	Facility		$1,382.68	$1,759.77	$2,048.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,614.52 / $2,105.89 / $2,628.93	Professional		$1,614.52	$2,105.89	$2,628.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,688.50 / $2,171.94 / $3,210.83	Professional		$1,688.50	$2,171.94	$3,210.83