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 $1,298.92 / $1,511.44 / $2,193.75	Professional		$1,298.92	$1,511.44	$2,193.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.96 / $1,664.96 / $1,664.96	Facility		$1,664.96	$1,664.96	$1,664.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,493.81 / $2,113.83 / $2,704.62	Professional		$1,493.81	$2,113.83	$2,704.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,313.75	Professional		$32.34	$32.34	$2,313.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,272.35 / $1,632.40 / $2,193.75	Facility		$1,272.35	$1,632.40	$2,193.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,620.61 / $2,254.76 / $3,816.69	Professional		$1,620.61	$2,254.76	$3,816.69
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 $1,502.56 / $2,097.69 / $3,125.13	Professional		$1,502.56	$2,097.69	$3,125.13