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 $2,164.85 / $2,386.42 / $5,738.85	Professional		$2,164.85	$2,386.42	$5,738.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,658.05 / $3,956.16 / $4,995.97	Professional		$2,658.05	$3,956.16	$4,995.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $798.53 / $4,297.18	Professional		$32.34	$798.53	$4,297.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,907.34 / $3,033.06 / $3,548.62	Facility		$1,907.34	$3,033.06	$3,548.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,033.06 / $3,956.16 / $4,995.97	Professional		$3,033.06	$3,956.16	$4,995.97
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 $2,921.49 / $4,185.42 / $6,238.64	Professional		$2,921.49	$4,185.42	$6,238.64