Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,820.80 / $7,838.38	Facility		$1,000.00	$2,820.80	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,646.65 / $2,820.80 / $15,161.60	Professional		$2,646.65	$2,820.80	$15,161.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,017.40 / $4,526.10 / $5,696.02	Professional		$3,017.40	$4,526.10	$5,696.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,893.08	Professional		$32.34	$32.34	$4,893.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,859.51 / $3,655.00 / $4,676.97	Facility		$2,859.51	$3,655.00	$4,676.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,056.76 / $4,676.97 / $7,461.70	Professional		$3,056.76	$4,676.97	$7,461.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,657.00 / $21,608.00 / $23,542.00	Facility		$1,657.00	$21,608.00	$23,542.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,247.27 / $4,387.87 / $6,959.69	Professional		$3,247.27	$4,387.87	$6,959.69