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 $2,312.86 / $2,592.89 / $3,794.67	Professional		$2,312.86	$2,592.89	$3,794.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,910.22 / $2,910.22 / $2,910.22	Facility		$2,910.22	$2,910.22	$2,910.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,610.31 / $3,809.52 / $4,807.34	Professional		$2,610.31	$3,809.52	$4,807.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,049.82	Professional		$32.34	$32.34	$4,049.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,395.23 / $3,048.47 / $3,794.67	Facility		$2,395.23	$3,048.47	$3,794.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,885.62 / $4,063.49 / $6,569.37	Professional		$2,885.62	$4,063.49	$6,569.37
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 $2,612.84 / $3,765.42 / $5,428.99	Professional		$2,612.84	$3,765.42	$5,428.99