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 $1,026.58 / $1,113.90 / $1,448.60	Professional		$1,026.58	$1,113.90	$1,448.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.54 / $1,325.54 / $1,325.54	Facility		$1,325.54	$1,325.54	$1,325.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.34 / $1,693.28 / $2,152.40	Professional		$1,171.34	$1,693.28	$2,152.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,845.29	Professional		$32.34	$32.34	$1,845.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $932.42 / $1,245.29 / $1,746.30	Facility		$932.42	$1,245.29	$1,746.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,267.77 / $1,806.17 / $3,023.25	Professional		$1,267.77	$1,806.17	$3,023.25
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $4,616.00 / $17,636.00	Facility		$755.00	$4,616.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,192.47 / $1,664.03 / $2,479.07	Professional		$1,192.47	$1,664.03	$2,479.07