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 $2,165.01 / $2,274.19 / $4,246.39	Professional		$2,165.01	$2,274.19	$4,246.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,469.64 / $3,408.22 / $4,597.41	Professional		$2,469.64	$3,408.22	$4,597.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,674.33	Professional		$32.34	$32.34	$3,674.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,483.05 / $3,160.25 / $3,632.28	Facility		$2,483.05	$3,160.25	$3,632.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,578.19 / $3,362.86 / $4,597.41	Professional		$2,578.19	$3,362.86	$4,597.41
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 $2,824.67 / $3,612.95 / $5,512.85	Professional		$2,824.67	$3,612.95	$5,512.85