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 $2,227.10 / $2,483.62 / $4,268.80	Professional		$2,227.10	$2,483.62	$4,268.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,438.65 / $3,885.15 / $4,711.51	Professional		$2,438.65	$3,885.15	$4,711.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,666.44	Professional		$32.34	$32.34	$3,666.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,049.26 / $3,680.48 / $3,794.58	Facility		$3,049.26	$3,680.48	$3,794.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,877.84 / $3,467.67 / $4,711.51	Professional		$2,877.84	$3,467.67	$4,711.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,503.00 / $15,732.00	Facility		$3,085.00	$3,503.00	$15,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,955.40 / $3,825.64 / $4,962.96	Professional		$2,955.40	$3,825.64	$4,962.96