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 $1,356.95 / $1,461.65 / $2,815.30	Professional		$1,356.95	$1,461.65	$2,815.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,657.61 / $2,436.87 / $3,078.92	Professional		$1,657.61	$2,436.87	$3,078.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $495.38 / $2,667.98	Professional		$32.34	$495.38	$2,667.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,493.92 / $1,901.35 / $2,308.11	Facility		$1,493.92	$1,901.35	$2,308.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,868.27 / $2,436.87 / $3,078.92	Professional		$1,868.27	$2,436.87	$3,078.92
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 $1,909.99 / $2,532.39 / $3,849.93	Professional		$1,909.99	$2,532.39	$3,849.93