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 $2,113.94 / $2,247.61 / $3,144.98	Professional		$2,113.94	$2,247.61	$3,144.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,429.19 / $2,429.19 / $2,429.19	Facility		$2,429.19	$2,429.19	$2,429.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,128.23 / $3,140.50 / $4,107.91	Professional		$2,128.23	$3,140.50	$4,107.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,310.24	Professional		$32.34	$32.34	$3,310.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,721.56 / $2,408.50 / $3,144.98	Facility		$1,721.56	$2,408.50	$3,144.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,308.91 / $3,430.41 / $5,678.49	Professional		$2,308.91	$3,430.41	$5,678.49
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 $2,251.27 / $3,181.38 / $4,602.95	Professional		$2,251.27	$3,181.38	$4,602.95