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 $1,024.38 / $1,184.64 / $1,718.65	Professional		$1,024.38	$1,184.64	$1,718.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.61 / $1,306.61 / $1,306.61	Facility		$1,306.61	$1,306.61	$1,306.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.81 / $1,663.33 / $2,121.15	Professional		$1,171.81	$1,663.33	$2,121.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,814.73	Professional		$32.34	$32.34	$1,814.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $960.40 / $1,275.22 / $1,718.65	Facility		$960.40	$1,275.22	$1,718.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,249.32 / $1,774.22 / $2,994.54	Professional		$1,249.32	$1,774.22	$2,994.54
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 $1,179.22 / $1,645.42 / $2,451.34	Professional		$1,179.22	$1,645.42	$2,451.34