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 $1,705.21 / $1,882.05 / $4,511.60	Professional		$1,705.21	$1,882.05	$4,511.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,088.04 / $3,090.13 / $3,899.73	Professional		$2,088.04	$3,090.13	$3,899.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $625.53 / $3,367.55	Professional		$32.34	$625.53	$3,367.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,947.18 / $2,478.21 / $2,967.72	Facility		$1,947.18	$2,478.21	$2,967.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,369.10 / $3,090.13 / $3,899.73	Professional		$2,369.10	$3,090.13	$3,899.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,503.00 / $15,732.00	Facility		$3,085.00	$3,503.00	$15,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,441.73 / $3,090.78 / $4,873.76	Professional		$2,441.73	$3,090.78	$4,873.76