Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,193.54 / $7,838.38	Facility		$1,000.00	$2,193.54	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,059.52 / $2,193.54 / $10,525.00	Professional		$2,059.52	$2,193.54	$10,525.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,303.14 / $3,486.37 / $4,400.14	Professional		$2,303.14	$3,486.37	$4,400.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,797.09	Professional		$32.34	$32.34	$3,797.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,094.44 / $2,586.42 / $3,602.58	Facility		$2,094.44	$2,586.42	$3,602.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,324.23 / $3,602.58 / $5,795.06	Professional		$2,324.23	$3,602.58	$5,795.06
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 $2,444.04 / $3,373.67 / $5,503.14	Professional		$2,444.04	$3,373.67	$5,503.14