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 $2,123.23 / $2,202.51 / $4,044.61	Professional		$2,123.23	$2,202.51	$4,044.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,322.13 / $3,595.63 / $4,454.85	Professional		$2,322.13	$3,595.63	$4,454.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,401.57	Professional		$32.34	$32.34	$3,401.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,417.92 / $3,077.37 / $3,560.13	Facility		$2,417.92	$3,077.37	$3,560.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,726.70 / $3,284.20 / $4,454.85	Professional		$2,726.70	$3,284.20	$4,454.85
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 $2,666.31 / $3,577.19 / $5,268.24	Professional		$2,666.31	$3,577.19	$5,268.24