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 $1,525.14 / $1,700.41 / $2,930.41	Professional		$1,525.14	$1,700.41	$2,930.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,865.06 / $2,704.12 / $3,404.10	Professional		$1,865.06	$2,704.12	$3,404.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,576.77 / $2,772.48	Professional		$32.34	$2,576.77	$2,772.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,938.01 / $1,938.01 / $1,938.01	Facility		$1,938.01	$1,938.01	$1,938.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,073.16 / $2,704.12 / $3,404.10	Professional		$2,073.16	$2,704.12	$3,404.10
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 $2,419.08 / $2,936.46 / $4,158.53	Professional		$2,419.08	$2,936.46	$4,158.53