Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,629.53 / $1,763.64 / $2,845.64	Professional		$1,629.53	$1,763.64	$2,845.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,729.23 / $2,647.93 / $3,380.43	Professional		$1,729.23	$2,647.93	$3,380.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $502.80 / $2,696.74	Professional		$32.34	$502.80	$2,696.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,773.41 / $2,257.07 / $2,658.98	Facility		$1,773.41	$2,257.07	$2,658.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,090.69 / $2,806.40 / $3,380.43	Professional		$2,090.69	$2,806.40	$3,380.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.34 / $2,617.58 / $4,069.43	Professional		$2,116.34	$2,617.58	$4,069.43