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 $1,021.03 / $1,104.03 / $1,883.21	Professional		$1,021.03	$1,104.03	$1,883.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,204.52 / $1,710.14 / $2,168.63	Professional		$1,204.52	$1,710.14	$2,168.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $331.09 / $1,784.67	Professional		$32.34	$331.09	$1,784.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,012.18 / $1,300.80 / $1,640.42	Facility		$1,012.18	$1,300.80	$1,640.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,322.09 / $1,724.46 / $2,168.63	Professional		$1,322.09	$1,724.46	$2,168.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,503.00 / $15,732.00	Facility		$3,085.00	$3,503.00	$15,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,333.79 / $1,707.30 / $2,682.05	Professional		$1,333.79	$1,707.30	$2,682.05