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 $1,080.43 / $1,087.72 / $2,012.97	Professional		$1,080.43	$1,087.72	$2,012.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,173.81 / $1,744.02 / $2,181.12	Professional		$1,173.81	$1,744.02	$2,181.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,738.62	Professional		$32.34	$32.34	$1,738.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,128.39 / $1,436.13 / $1,648.22	Facility		$1,128.39	$1,436.13	$1,648.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,337.79 / $1,637.83 / $2,181.12	Professional		$1,337.79	$1,637.83	$2,181.12
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 $1,322.13 / $1,699.18 / $2,614.67	Professional		$1,322.13	$1,699.18	$2,614.67