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 $1,519.44 / $1,751.97 / $2,563.52	Professional		$1,519.44	$1,751.97	$2,563.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,948.55 / $1,948.55 / $1,948.55	Facility		$1,948.55	$1,948.55	$1,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,745.66 / $2,499.33 / $3,168.58	Professional		$1,745.66	$2,499.33	$3,168.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,707.72	Professional		$32.34	$32.34	$2,707.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,573.43 / $1,974.68 / $2,563.52	Facility		$1,573.43	$1,974.68	$2,563.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,916.16 / $2,665.96 / $4,436.13	Professional		$1,916.16	$2,665.96	$4,436.13
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 $1,748.11 / $2,477.17 / $3,603.18	Professional		$1,748.11	$2,477.17	$3,603.18