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 $1,295.28 / $1,300.74 / $2,405.15	Professional		$1,295.28	$1,300.74	$2,405.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,404.27 / $2,082.51 / $2,626.98	Professional		$1,404.27	$2,082.51	$2,626.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,083.48	Professional		$32.34	$32.34	$2,083.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,502.49 / $1,912.26 / $2,087.67	Facility		$1,502.49	$1,912.26	$2,087.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,596.59 / $1,969.02 / $2,626.98	Professional		$1,596.59	$1,969.02	$2,626.98
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 $1,564.05 / $2,123.54 / $3,127.41	Professional		$1,564.05	$2,123.54	$3,127.41