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 $1,102.93 / $1,223.69 / $1,865.24	Professional		$1,102.93	$1,223.69	$1,865.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.18 / $1,741.33 / $2,139.75	Professional		$1,010.18	$1,741.33	$2,139.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $327.76 / $1,767.64	Professional		$32.34	$327.76	$1,767.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,138.79 / $1,449.36 / $1,756.48	Facility		$1,138.79	$1,449.36	$1,756.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,335.02 / $1,741.33 / $2,139.75	Professional		$1,335.02	$1,741.33	$2,139.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,450.49 / $1,810.59 / $2,596.73	Professional		$1,450.49	$1,810.59	$2,596.73