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 $2,315.92 / $2,512.64 / $4,843.09	Professional		$2,315.92	$2,512.64	$4,843.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,840.60 / $4,228.29 / $5,330.39	Professional		$2,840.60	$4,228.29	$5,330.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $852.44 / $4,589.67	Professional		$32.34	$852.44	$4,589.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,799.49 / $3,562.99 / $4,119.60	Facility		$2,799.49	$3,562.99	$4,119.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,241.69 / $4,228.29 / $5,330.39	Professional		$3,241.69	$4,228.29	$5,330.39
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 $3,329.94 / $4,362.97 / $6,653.39	Professional		$3,329.94	$4,362.97	$6,653.39