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 $1,435.43 / $1,566.92 / $7,459.00	Professional		$1,435.43	$1,566.92	$7,459.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,490.42 / $2,389.71 / $3,064.02	Professional		$1,490.42	$2,389.71	$3,064.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,693.36	Professional		$32.34	$32.34	$2,693.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,515.88 / $1,960.00 / $2,418.12	Facility		$1,515.88	$1,960.00	$2,418.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,593.14 / $2,540.32 / $4,125.10	Professional		$1,593.14	$2,540.32	$4,125.10
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 $1,676.70 / $2,383.21 / $3,361.80	Professional		$1,676.70	$2,383.21	$3,361.80