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 $1,369.74 / $2,281.56 / $4,238.93	Professional		$1,369.74	$2,281.56	$4,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,683.96 / $2,401.40 / $4,286.56	Professional		$1,683.96	$2,401.40	$4,286.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,668.38	Professional		$32.34	$32.34	$3,668.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,409.61 / $1,794.04 / $2,057.51	Facility		$1,409.61	$1,794.04	$2,057.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,683.96 / $2,857.71 / $4,286.56	Professional		$1,683.96	$2,857.71	$4,286.56
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 $1,647.90 / $3,155.57 / $5,386.23	Professional		$1,647.90	$3,155.57	$5,386.23