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 $1,576.48 / $1,784.48 / $2,602.12	Professional		$1,576.48	$1,784.48	$2,602.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,974.88 / $1,974.88 / $1,974.88	Facility		$1,974.88	$1,974.88	$1,974.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,782.27 / $2,571.39 / $3,235.70	Professional		$1,782.27	$2,571.39	$3,235.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,741.24	Professional		$32.34	$32.34	$2,741.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,681.74 / $2,101.84 / $2,609.58	Facility		$1,681.74	$2,101.84	$2,609.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,964.04 / $2,742.82 / $4,511.82	Professional		$1,964.04	$2,742.82	$4,511.82
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 $1,773.59 / $2,516.21 / $4,044.81	Professional		$1,773.59	$2,516.21	$4,044.81