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 $1,022.57 / $1,189.81 / $1,726.66	Professional		$1,022.57	$1,189.81	$1,726.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,313.52 / $1,313.52 / $1,313.52	Facility		$1,313.52	$1,313.52	$1,313.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.11 / $1,662.91 / $2,128.76	Professional		$1,178.11	$1,662.91	$2,128.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,824.64	Professional		$32.34	$32.34	$1,824.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $992.18 / $1,287.32 / $1,726.66	Facility		$992.18	$1,287.32	$1,726.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,265.97 / $1,774.67 / $3,010.20	Professional		$1,265.97	$1,774.67	$3,010.20
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 $1,209.78 / $1,651.79 / $2,698.65	Professional		$1,209.78	$1,651.79	$2,698.65