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 $2,499.46 / $2,712.93 / $5,233.70	Professional		$2,499.46	$2,712.93	$5,233.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,068.65 / $4,577.28 / $5,674.47	Professional		$3,068.65	$4,577.28	$5,674.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $921.69 / $4,959.85	Professional		$32.34	$921.69	$4,959.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,004.03 / $3,823.32 / $4,139.93	Facility		$3,004.03	$3,823.32	$4,139.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,509.25 / $4,577.28 / $5,674.47	Professional		$3,509.25	$4,577.28	$5,674.47
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 $3,421.99 / $4,460.46 / $7,191.37	Professional		$3,421.99	$4,460.46	$7,191.37