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 $1,777.14 / $1,954.86 / $4,702.14	Professional		$1,777.14	$1,954.86	$4,702.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,176.64 / $3,215.37 / $4,062.43	Professional		$2,176.64	$3,215.37	$4,062.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $652.34 / $3,513.63	Professional		$32.34	$652.34	$3,513.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,078.69 / $2,645.62 / $3,039.89	Facility		$2,078.69	$2,645.62	$3,039.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,465.12 / $3,215.37 / $4,062.43	Professional		$2,465.12	$3,215.37	$4,062.43
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 $2,507.48 / $3,327.88 / $5,086.81	Professional		$2,507.48	$3,327.88	$5,086.81