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 $1,633.96 / $1,748.10 / $9,350.45	Professional		$1,633.96	$1,748.10	$9,350.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,825.48 / $2,738.22 / $3,474.80	Professional		$1,825.48	$2,738.22	$3,474.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,020.16	Professional		$32.34	$32.34	$3,020.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,753.97 / $2,362.31 / $2,907.00	Facility		$1,753.97	$2,362.31	$2,907.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,882.48 / $2,851.36 / $4,613.97	Professional		$1,882.48	$2,851.36	$4,613.97
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 $1,939.69 / $2,719.72 / $4,104.00	Professional		$1,939.69	$2,719.72	$4,104.00