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 $1,263.39 / $1,432.44 / $2,362.28	Professional		$1,263.39	$1,432.44	$2,362.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,420.82 / $2,163.52 / $2,678.80	Professional		$1,420.82	$2,163.52	$2,678.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $416.09 / $2,238.67	Professional		$32.34	$416.09	$2,238.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,507.19 / $1,918.24 / $2,118.73	Facility		$1,507.19	$1,918.24	$2,118.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,658.70 / $2,163.52 / $2,678.80	Professional		$1,658.70	$2,163.52	$2,678.80
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 $1,697.84 / $2,202.48 / $3,244.05	Professional		$1,697.84	$2,202.48	$3,244.05