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 $1,441.81 / $1,629.09 / $2,755.27	Professional		$1,441.81	$1,629.09	$2,755.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,577.11 / $2,562.63 / $3,073.06	Professional		$1,577.11	$2,562.63	$3,073.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,368.69	Professional		$32.34	$32.34	$2,368.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,686.33 / $2,146.23 / $2,533.10	Facility		$1,686.33	$2,146.23	$2,533.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,857.48 / $2,241.60 / $3,073.06	Professional		$1,857.48	$2,241.60	$3,073.06
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 $1,892.88 / $2,497.56 / $3,551.85	Professional		$1,892.88	$2,497.56	$3,551.85