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 $1,681.75 / $1,801.18 / $3,170.09	Professional		$1,681.75	$1,801.18	$3,170.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,844.50 / $2,754.49 / $3,420.76	Professional		$1,844.50	$2,754.49	$3,420.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,745.59	Professional		$32.34	$32.34	$2,745.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,857.86 / $2,364.54 / $2,742.66	Facility		$1,857.86	$2,364.54	$2,742.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,137.14 / $2,594.36 / $3,420.76	Professional		$2,137.14	$2,594.36	$3,420.76
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 $2,064.40 / $2,797.84 / $3,688.56	Professional		$2,064.40	$2,797.84	$3,688.56