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 $1,073.78 / $1,271.48 / $1,825.03	Professional		$1,073.78	$1,271.48	$1,825.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.41 / $1,399.41 / $1,399.41	Facility		$1,399.41	$1,399.41	$1,399.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.29 / $1,668.69 / $2,250.03	Professional		$1,105.29	$1,668.69	$2,250.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,948.47	Professional		$32.34	$32.34	$1,948.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $1,289.97 / $1,733.30	Facility		$971.00	$1,289.97	$1,733.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,260.98 / $1,829.17 / $3,219.00	Professional		$1,260.98	$1,829.17	$3,219.00
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 $1,240.29 / $1,736.56 / $2,604.61	Professional		$1,240.29	$1,736.56	$2,604.61