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 $1,192.53 / $1,382.35 / $2,015.48	Professional		$1,192.53	$1,382.35	$2,015.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,533.78 / $1,533.78 / $1,533.78	Facility		$1,533.78	$1,533.78	$1,533.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,337.01 / $1,953.26 / $2,485.01	Professional		$1,337.01	$1,953.26	$2,485.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,132.69	Professional		$32.34	$32.34	$2,132.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,114.55 / $1,497.50 / $2,015.48	Facility		$1,114.55	$1,497.50	$2,015.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,463.01 / $2,083.48 / $3,500.01	Professional		$1,463.01	$2,083.48	$3,500.01
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $5,060.00 / $17,636.00	Facility		$755.00	$5,060.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,414.08 / $1,964.00 / $2,867.44	Professional		$1,414.08	$1,964.00	$2,867.44