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 $1,151.46 / $1,152.45 / $2,126.11	Professional		$1,151.46	$1,152.45	$2,126.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,247.14 / $1,829.73 / $2,265.52	Professional		$1,247.14	$1,829.73	$2,265.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,850.62	Professional		$32.34	$32.34	$1,850.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.51 / $1,639.93 / $1,806.47	Facility		$1,288.51	$1,639.93	$1,806.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,413.39 / $1,746.88 / $2,265.52	Professional		$1,413.39	$1,746.88	$2,265.52
United Facility/Professional Facility Modifier Low / Median / High Price $11,834.00 / $25,932.00 / $25,932.00	Facility		$11,834.00	$25,932.00	$25,932.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,383.48 / $1,834.79 / $2,765.34	Professional		$1,383.48	$1,834.79	$2,765.34