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 $1,308.34 / $1,337.14 / $2,489.90	Professional		$1,308.34	$1,337.14	$2,489.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.56 / $2,113.98 / $2,648.72	Professional		$1,445.56	$2,113.98	$2,648.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,141.92	Professional		$32.34	$32.34	$2,141.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,273.36 / $1,620.65 / $1,987.34	Facility		$1,273.36	$1,620.65	$1,987.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,620.73 / $2,019.46 / $2,648.72	Professional		$1,620.73	$2,019.46	$2,648.72
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 $1,488.94 / $2,042.89 / $3,230.27	Professional		$1,488.94	$2,042.89	$3,230.27