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 $1,905.91 / $2,075.94 / $4,339.10	Professional		$1,905.91	$2,075.94	$4,339.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,342.21 / $3,055.08 / $4,698.77	Professional		$2,342.21	$3,055.08	$4,698.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $763.88 / $4,112.07	Professional		$32.34	$763.88	$4,112.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,106.61 / $2,681.14 / $3,045.41	Facility		$2,106.61	$2,681.14	$3,045.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,342.21 / $3,228.28 / $4,698.77	Professional		$2,342.21	$3,228.28	$4,698.77
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 $2,461.39 / $3,461.72 / $5,181.70	Professional		$2,461.39	$3,461.72	$5,181.70