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 $1,535.38 / $1,648.32 / $3,828.04	Professional		$1,535.38	$1,648.32	$3,828.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,475.94 / $2,457.61 / $3,154.54	Professional		$1,475.94	$2,457.61	$3,154.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $483.50 / $2,590.71	Professional		$32.34	$483.50	$2,590.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,915.25 / $2,322.71 / $2,390.79	Facility		$1,915.25	$2,322.71	$2,390.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,898.33 / $2,476.09 / $3,154.54	Professional		$1,898.33	$2,476.09	$3,154.54
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 $1,952.10 / $2,583.88 / $3,962.63	Professional		$1,952.10	$2,583.88	$3,962.63