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 $1,397.89 / $1,419.32 / $2,632.76	Professional		$1,397.89	$1,419.32	$2,632.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,533.43 / $2,254.73 / $2,816.81	Professional		$1,533.43	$2,254.73	$2,816.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,269.96	Professional		$32.34	$32.34	$2,269.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,516.77 / $1,930.43 / $2,226.27	Facility		$1,516.77	$1,930.43	$2,226.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,729.77 / $2,141.23 / $2,816.81	Professional		$1,729.77	$2,141.23	$2,816.81
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 $1,711.40 / $2,258.83 / $3,414.15	Professional		$1,711.40	$2,258.83	$3,414.15