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 $1,183.98 / $1,229.60 / $2,263.86	Professional		$1,183.98	$1,229.60	$2,263.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,294.99 / $2,016.90 / $2,488.50	Professional		$1,294.99	$2,016.90	$2,488.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $361.89 / $1,944.62	Professional		$32.34	$361.89	$1,944.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,590.76 / $2,029.77 / $2,070.77	Facility		$1,590.76	$2,029.77	$2,070.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,526.20 / $1,839.47 / $2,488.50	Professional		$1,526.20	$1,839.47	$2,488.50
United Facility/Professional Facility Modifier Low / Median / High Price $9,028.00 / $15,131.00 / $16,269.00	Facility		$9,028.00	$15,131.00	$16,269.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,545.87 / $1,869.84 / $2,614.32	Professional		$1,545.87	$1,869.84	$2,614.32