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 $1,266.60 / $2,174.30 / $4,036.99	Professional		$1,266.60	$2,174.30	$4,036.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,556.39 / $2,288.61 / $4,082.35	Professional		$1,556.39	$2,288.61	$4,082.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,494.90	Professional		$32.34	$32.34	$3,494.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,325.93 / $1,687.55 / $1,935.32	Facility		$1,325.93	$1,687.55	$1,935.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,556.39 / $2,721.57 / $4,082.35	Professional		$1,556.39	$2,721.57	$4,082.35
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 $1,491.24 / $2,575.27 / $5,134.20	Professional		$1,491.24	$2,575.27	$5,134.20