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 $2,960.46 / $3,243.61 / $6,212.92	Professional		$2,960.46	$3,243.61	$6,212.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,638.76 / $5,474.51 / $6,881.16	Professional		$3,638.76	$5,474.51	$6,881.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,093.88 / $5,887.82	Professional		$32.34	$1,093.88	$5,887.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,600.19 / $4,582.06 / $5,293.26	Facility		$3,600.19	$4,582.06	$5,293.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,197.13 / $5,474.51 / $6,881.16	Professional		$4,197.13	$5,474.51	$6,881.16
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 $4,306.42 / $5,639.40 / $8,552.54	Professional		$4,306.42	$5,639.40	$8,552.54