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 $1,245.83 / $1,323.42 / $6,416.00	Professional		$1,245.83	$1,323.42	$6,416.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.53 / $2,084.30 / $2,635.52	Professional		$1,389.53	$2,084.30	$2,635.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,288.67	Professional		$32.34	$32.34	$2,288.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,278.94 / $1,740.45 / $3,524.10	Facility		$1,278.94	$1,740.45	$3,524.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,432.54 / $2,156.80 / $3,490.15	Professional		$1,432.54	$2,156.80	$3,490.15
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 $1,445.67 / $2,014.63 / $3,173.40	Professional		$1,445.67	$2,014.63	$3,173.40