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 $1,269.27 / $1,392.98 / $2,420.75	Professional		$1,269.27	$1,392.98	$2,420.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.76 / $2,256.92 / $2,704.28	Professional		$1,388.76	$2,256.92	$2,704.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,087.12	Professional		$32.34	$32.34	$2,087.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,219.17 / $1,700.69 / $2,119.66	Facility		$1,219.17	$1,700.69	$2,119.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,631.97 / $1,971.43 / $2,704.28	Professional		$1,631.97	$1,971.43	$2,704.28
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 $1,656.80 / $2,196.21 / $3,120.92	Professional		$1,656.80	$2,196.21	$3,120.92