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 $1,253.29 / $1,352.87 / $2,606.28	Professional		$1,253.29	$1,352.87	$2,606.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,532.49 / $2,258.23 / $2,851.77	Professional		$1,532.49	$2,258.23	$2,851.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $458.40 / $2,469.91	Professional		$32.34	$458.40	$2,469.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,405.61 / $1,788.96 / $2,150.98	Facility		$1,405.61	$1,788.96	$2,150.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,731.32 / $2,258.23 / $2,851.77	Professional		$1,731.32	$2,258.23	$2,851.77
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 $1,792.10 / $2,203.00 / $3,582.64	Professional		$1,792.10	$2,203.00	$3,582.64