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 $903.69 / $1,043.66 / $1,522.44	Professional		$903.69	$1,043.66	$1,522.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,159.75 / $1,159.75 / $1,159.75	Facility		$1,159.75	$1,159.75	$1,159.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.14 / $1,480.26 / $1,881.47	Professional		$1,041.14	$1,480.26	$1,881.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,613.99	Professional		$32.34	$32.34	$1,613.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $880.21 / $1,134.85 / $1,529.10	Facility		$880.21	$1,134.85	$1,529.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,108.03 / $1,578.94 / $2,643.93	Professional		$1,108.03	$1,578.94	$2,643.93
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 $1,044.38 / $1,455.30 / $2,143.71	Professional		$1,044.38	$1,455.30	$2,143.71