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 $2,054.04 / $2,361.07 / $3,460.13	Professional		$2,054.04	$2,361.07	$3,460.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,624.83 / $2,624.83 / $2,624.83	Facility		$2,624.83	$2,624.83	$2,624.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,262.32 / $3,385.66 / $4,286.17	Professional		$2,262.32	$3,385.66	$4,286.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,648.80	Professional		$32.34	$32.34	$3,648.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,054.03 / $2,614.21 / $3,449.54	Facility		$2,054.03	$2,614.21	$3,449.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,517.78 / $3,611.37 / $5,975.16	Professional		$2,517.78	$3,611.37	$5,975.16
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 $2,433.16 / $3,371.00 / $5,371.20	Professional		$2,433.16	$3,371.00	$5,371.20