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 $2,328.91 / $2,504.44 / $4,467.21	Professional		$2,328.91	$2,504.44	$4,467.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,550.54 / $4,061.35 / $5,073.97	Professional		$2,550.54	$4,061.35	$5,073.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,834.75	Professional		$32.34	$32.34	$3,834.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,172.43 / $3,856.91 / $3,970.19	Facility		$3,172.43	$3,856.91	$3,970.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,011.60 / $3,627.79 / $5,073.97	Professional		$3,011.60	$3,627.79	$5,073.97
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 $2,952.11 / $4,089.33 / $6,210.20	Professional		$2,952.11	$4,089.33	$6,210.20