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 $1,912.63 / $2,102.85 / $3,717.61	Professional		$1,912.63	$2,102.85	$3,717.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,130.19 / $3,195.30 / $4,056.46	Professional		$2,130.19	$3,195.30	$4,056.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,523.08	Professional		$32.34	$32.34	$3,523.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $2,448.00 / $3,301.81	Facility		$1,961.00	$2,448.00	$3,301.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,170.71 / $3,325.52 / $5,378.40	Professional		$2,170.71	$3,325.52	$5,378.40
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 $2,168.03 / $3,156.50 / $5,098.13	Professional		$2,168.03	$3,156.50	$5,098.13