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 $2,043.31 / $2,198.59 / $4,269.75	Professional		$2,043.31	$2,198.59	$4,269.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,505.23 / $3,702.22 / $4,681.83	Professional		$2,505.23	$3,702.22	$4,681.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $751.49 / $4,046.33	Professional		$32.34	$751.49	$4,046.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,361.96 / $3,006.12 / $3,345.15	Facility		$2,361.96	$3,006.12	$3,345.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,838.37 / $3,702.22 / $4,681.83	Professional		$2,838.37	$3,702.22	$4,681.83
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 $2,550.33 / $3,635.80 / $5,861.81	Professional		$2,550.33	$3,635.80	$5,861.81