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 $1,025.52 / $1,028.34 / $1,901.15	Professional		$1,025.52	$1,028.34	$1,901.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.61 / $1,647.88 / $2,053.81	Professional		$1,127.61	$1,647.88	$2,053.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,672.85	Professional		$32.34	$32.34	$1,672.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,068.92 / $1,360.44 / $1,603.69	Facility		$1,068.92	$1,360.44	$1,603.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,263.38 / $1,579.44 / $2,053.81	Professional		$1,263.38	$1,579.44	$2,053.81
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 $1,239.10 / $1,581.25 / $2,466.44	Professional		$1,239.10	$1,581.25	$2,466.44