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 $1,204.51 / $1,393.40 / $2,027.43	Professional		$1,204.51	$1,393.40	$2,027.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,541.29 / $1,541.29 / $1,541.29	Facility		$1,541.29	$1,541.29	$1,541.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,381.99 / $1,965.86 / $2,501.35	Professional		$1,381.99	$1,965.86	$2,501.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,141.51	Professional		$32.34	$32.34	$2,141.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,175.70 / $1,510.88 / $2,027.43	Facility		$1,175.70	$1,510.88	$2,027.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,507.16 / $2,096.91 / $3,525.24	Professional		$1,507.16	$2,096.91	$3,525.24
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 $1,388.10 / $1,963.42 / $2,887.14	Professional		$1,388.10	$1,963.42	$2,887.14