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 $1,509.57 / $1,623.02 / $2,887.69	Professional		$1,509.57	$1,623.02	$2,887.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,651.68 / $2,637.14 / $3,246.25	Professional		$1,651.68	$2,637.14	$3,246.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,482.41	Professional		$32.34	$32.34	$2,482.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.78 / $2,316.08 / $2,628.85	Facility		$1,819.78	$2,316.08	$2,628.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,946.76 / $2,346.48 / $3,246.25	Professional		$1,946.76	$2,346.48	$3,246.25
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 $1,949.30 / $2,526.69 / $3,484.79	Professional		$1,949.30	$2,526.69	$3,484.79