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 $1,393.24 / $1,447.73 / $2,639.02	Professional		$1,393.24	$1,447.73	$2,639.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,528.59 / $2,350.87 / $2,897.97	Professional		$1,528.59	$2,350.87	$2,897.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,260.81	Professional		$32.34	$32.34	$2,260.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,611.98 / $2,051.62 / $2,325.48	Facility		$1,611.98	$2,051.62	$2,325.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,779.12 / $2,149.80 / $2,897.97	Professional		$1,779.12	$2,149.80	$2,897.97
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 $1,735.97 / $2,359.48 / $3,420.62	Professional		$1,735.97	$2,359.48	$3,420.62