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 $1,300.68 / $1,310.95 / $2,402.96	Professional		$1,300.68	$1,310.95	$2,402.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,408.30 / $2,104.81 / $2,611.11	Professional		$1,408.30	$2,104.81	$2,611.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,092.44	Professional		$32.34	$32.34	$2,092.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,458.48 / $1,856.25 / $2,038.84	Facility		$1,458.48	$1,856.25	$2,038.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,613.68 / $1,974.08 / $2,611.11	Professional		$1,613.68	$1,974.08	$2,611.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,503.00 / $15,732.00	Facility		$3,085.00	$3,503.00	$15,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,565.13 / $2,124.64 / $3,123.34	Professional		$1,565.13	$2,124.64	$3,123.34