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 $1,382.35 / $1,499.04 / $2,199.48	Professional		$1,382.35	$1,499.04	$2,199.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.90 / $1,675.90 / $1,675.90	Facility		$1,675.90	$1,675.90	$1,675.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.99 / $2,208.79 / $2,851.95	Professional		$1,521.99	$2,208.79	$2,851.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,324.77	Professional		$32.34	$32.34	$2,324.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,426.24 / $1,902.77 / $2,255.52	Facility		$1,426.24	$1,902.77	$2,255.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,654.40 / $2,415.01 / $3,801.90	Professional		$1,654.40	$2,415.01	$3,801.90
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $5,060.00 / $17,636.00	Facility		$755.00	$5,060.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.97 / $2,188.92 / $3,133.16	Professional		$1,548.97	$2,188.92	$3,133.16