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 $1,525.31 / $2,281.56 / $4,238.93	Professional		$1,525.31	$2,281.56	$4,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,878.23 / $2,449.86 / $4,286.56	Professional		$1,878.23	$2,449.86	$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 $1,621.72 / $2,064.01 / $2,329.69	Facility		$1,621.72	$2,064.01	$2,329.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,878.23 / $2,857.71 / $4,286.56	Professional		$1,878.23	$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 $1,889.55 / $3,317.30 / $5,385.44	Professional		$1,889.55	$3,317.30	$5,385.44