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 $1,174.71 / $1,240.66 / $2,245.19	Professional		$1,174.71	$1,240.66	$2,245.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,284.92 / $2,027.46 / $2,484.36	Professional		$1,284.92	$2,027.46	$2,484.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,929.59	Professional		$32.34	$32.34	$1,929.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,396.78 / $1,777.72 / $1,974.88	Facility		$1,396.78	$1,777.72	$1,974.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.61 / $1,825.24 / $2,484.36	Professional		$1,513.61	$1,825.24	$2,484.36
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 $1,475.82 / $2,006.39 / $2,891.70	Professional		$1,475.82	$2,006.39	$2,891.70