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 $1,165.56 / $1,242.30 / $2,222.42	Professional		$1,165.56	$1,242.30	$2,222.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,273.74 / $2,017.28 / $2,511.87	Professional		$1,273.74	$2,017.28	$2,511.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,913.05	Professional		$32.34	$32.34	$1,913.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,341.68 / $1,707.59 / $2,009.39	Facility		$1,341.68	$1,707.59	$2,009.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,498.26 / $1,808.53 / $2,511.87	Professional		$1,498.26	$1,808.53	$2,511.87
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 $1,531.66 / $1,943.70 / $2,640.96	Professional		$1,531.66	$1,943.70	$2,640.96