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 $4,036.99 / $4,376.30 / $6,453.85	Professional		$4,036.99	$4,376.30	$6,453.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,904.50 / $4,904.50 / $4,904.50	Facility		$4,904.50	$4,904.50	$4,904.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,603.69 / $6,430.17 / $8,542.64	Professional		$3,603.69	$6,430.17	$8,542.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $6,800.60	Professional		$32.34	$32.34	$6,800.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,200.90 / $4,658.42 / $6,453.85	Facility		$2,200.90	$4,658.42	$6,453.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,813.30 / $7,133.73 / $11,096.85	Professional		$4,813.30	$7,133.73	$11,096.85
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 $4,552.93 / $6,305.06 / $9,232.29	Professional		$4,552.93	$6,305.06	$9,232.29