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 $2,522.10 / $2,922.14 / $5,062.53	Professional		$2,522.10	$2,922.14	$5,062.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,207.89 / $4,250.72 / $5,868.45	Professional		$3,207.89	$4,250.72	$5,868.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $888.55 / $4,775.77	Professional		$32.34	$888.55	$4,775.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,762.55 / $3,461.43 / $4,293.58	Facility		$1,762.55	$3,461.43	$4,293.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,221.42 / $4,201.85 / $5,868.45	Professional		$3,221.42	$4,201.85	$5,868.45
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 $3,606.86 / $4,588.10 / $7,178.21	Professional		$3,606.86	$4,588.10	$7,178.21