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 $1,311.18 / $1,334.66 / $2,723.02	Professional		$1,311.18	$1,334.66	$2,723.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,601.85 / $2,250.38 / $2,944.41	Professional		$1,601.85	$2,250.38	$2,944.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $479.01 / $2,580.53	Professional		$32.34	$479.01	$2,580.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,474.70 / $1,876.90 / $2,002.78	Facility		$1,474.70	$1,876.90	$2,002.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,725.29 / $2,250.38 / $2,944.41	Professional		$1,725.29	$2,250.38	$2,944.41
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 $1,644.50 / $2,297.50 / $3,721.95	Professional		$1,644.50	$2,297.50	$3,721.95