Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,095.00 / $7,838.38	Facility		$1,000.00	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.91 / $1,493.37 / $7,215.00	Professional		$1,402.91	$1,493.37	$7,215.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.99 / $2,341.48 / $2,970.31	Professional		$1,560.99	$2,341.48	$2,970.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,578.25	Professional		$32.34	$32.34	$2,578.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,431.97 / $2,024.85 / $2,907.00	Facility		$1,431.97	$2,024.85	$2,907.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,609.27 / $2,431.77 / $3,938.35	Professional		$1,609.27	$2,431.77	$3,938.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $5,089.00 / $17,636.00	Facility		$3,085.00	$5,089.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,631.17 / $2,320.64 / $3,520.81	Professional		$1,631.17	$2,320.64	$3,520.81