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 $1,131.20 / $1,290.04 / $5,580.00	Professional		$1,131.20	$1,290.04	$5,580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,382.21 / $2,039.74 / $2,576.60	Professional		$1,382.21	$2,039.74	$2,576.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $413.29 / $2,227.12	Professional		$32.34	$413.29	$2,227.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.22 / $1,677.73 / $1,952.08	Facility		$1,318.22	$1,677.73	$1,952.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,563.80 / $2,039.74 / $2,576.60	Professional		$1,563.80	$2,039.74	$2,576.60
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 $1,600.35 / $2,036.16 / $3,217.32	Professional		$1,600.35	$2,036.16	$3,217.32