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 $1,370.68 / $1,485.51 / $2,181.08	Professional		$1,370.68	$1,485.51	$2,181.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.76 / $1,661.76 / $1,661.76	Facility		$1,661.76	$1,661.76	$1,661.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,484.62 / $2,177.69 / $2,824.28	Professional		$1,484.62	$2,177.69	$2,824.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,305.39	Professional		$32.34	$32.34	$2,305.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.30 / $1,626.50 / $2,181.08	Facility		$1,044.30	$1,626.50	$2,181.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,633.70 / $2,390.23 / $3,767.97	Professional		$1,633.70	$2,390.23	$3,767.97
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 $1,537.78 / $2,130.50 / $3,110.53	Professional		$1,537.78	$2,130.50	$3,110.53