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 $2,225.25 / $3,041.84 / $5,701.78	Professional		$2,225.25	$3,041.84	$5,701.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,957.27 / $3,872.82 / $6,168.93	Professional		$2,957.27	$3,872.82	$6,168.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,892.89	Professional		$32.34	$32.34	$4,892.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,687.56 / $3,420.54 / $3,841.49	Facility		$2,687.56	$3,420.54	$3,841.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,957.27 / $3,857.31 / $6,168.93	Professional		$2,957.27	$3,857.31	$6,168.93
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 $3,082.94 / $4,482.03 / $7,409.07	Professional		$3,082.94	$4,482.03	$7,409.07