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 $1,164.32 / $1,525.02 / $2,877.35	Professional		$1,164.32	$1,525.02	$2,877.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,465.43 / $1,930.71 / $3,106.91	Professional		$1,465.43	$1,930.71	$3,106.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,458.17	Professional		$32.34	$32.34	$2,458.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.99 / $1,716.89 / $1,898.62	Facility		$1,348.99	$1,716.89	$1,898.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,465.43 / $1,939.79 / $3,106.91	Professional		$1,465.43	$1,939.79	$3,106.91
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 $1,473.61 / $2,256.94 / $3,730.86	Professional		$1,473.61	$2,256.94	$3,730.86