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 $1,517.87 / $1,615.46 / $3,766.93	Professional		$1,517.87	$1,615.46	$3,766.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,707.54 / $2,561.30 / $3,233.79	Professional		$1,707.54	$2,561.30	$3,233.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,790.95	Professional		$32.34	$32.34	$2,790.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,567.60 / $2,168.44 / $3,026.00	Facility		$1,567.60	$2,168.44	$3,026.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,742.56 / $2,646.68 / $4,262.88	Professional		$1,742.56	$2,646.68	$4,262.88
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 $1,827.39 / $2,513.21 / $3,916.80	Professional		$1,827.39	$2,513.21	$3,916.80