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 $1,758.16 / $2,007.54 / $4,652.56	Professional		$1,758.16	$2,007.54	$4,652.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,154.02 / $3,193.93 / $4,027.51	Professional		$2,154.02	$3,193.93	$4,027.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $645.26 / $3,475.62	Professional		$32.34	$645.26	$3,475.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,029.56 / $2,583.08 / $3,016.40	Facility		$2,029.56	$2,583.08	$3,016.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,448.67 / $3,193.93 / $4,027.51	Professional		$2,448.67	$3,193.93	$4,027.51
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 $2,415.60 / $3,307.19 / $5,030.08	Professional		$2,415.60	$3,307.19	$5,030.08