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 $1,312.50 / $2,425.79 / $3,449.34	Professional		$1,312.50	$2,425.79	$3,449.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,588.77 / $2,588.77 / $2,588.77	Facility		$2,588.77	$2,588.77	$2,588.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,853.90 / $3,605.24 / $4,673.46	Professional		$1,853.90	$3,605.24	$4,673.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $298.45 / $2,333.58	Professional		$59.69	$298.45	$2,333.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,699.28 / $2,355.88 / $3,449.34	Facility		$1,699.28	$2,355.88	$3,449.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,824.20 / $3,108.83 / $4,673.46	Professional		$1,824.20	$3,108.83	$4,673.46
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 $2,227.19 / $3,401.75 / $4,825.59	Professional		$2,227.19	$3,401.75	$4,825.59