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 $1,040.98 / $1,120.23 / $1,595.57	Professional		$1,040.98	$1,120.23	$1,595.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,246.67 / $1,246.67 / $1,246.67	Facility		$1,246.67	$1,246.67	$1,246.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,103.57 / $1,621.66 / $2,073.15	Professional		$1,103.57	$1,621.66	$2,073.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,706.02	Professional		$32.34	$32.34	$1,706.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,046.64 / $1,415.72 / $1,700.84	Facility		$1,046.64	$1,415.72	$1,700.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,248.53 / $1,748.57 / $2,854.47	Professional		$1,248.53	$1,748.57	$2,854.47
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 $1,183.16 / $1,564.00 / $2,302.63	Professional		$1,183.16	$1,564.00	$2,302.63