Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,555.92 / $7,838.38	Facility		$1,000.00	$2,555.92	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.73 / $2,555.92 / $5,920.23	Professional		$2,398.73	$2,555.92	$5,920.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,725.28 / $4,087.92 / $5,149.93	Professional		$2,725.28	$4,087.92	$5,149.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,430.39	Professional		$32.34	$32.34	$4,430.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,596.39 / $3,500.00 / $4,335.00	Facility		$2,596.39	$3,500.00	$4,335.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,766.91 / $4,224.18 / $6,757.86	Professional		$2,766.91	$4,224.18	$6,757.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,657.00 / $10,980.00 / $23,542.00	Facility		$1,657.00	$10,980.00	$23,542.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,853.20 / $3,960.53 / $6,263.08	Professional		$2,853.20	$3,960.53	$6,263.08