Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,736.00 / $2,736.00 / $2,736.00	Facility		$2,736.00	$2,736.00	$2,736.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,304.00 / $2,390.40 / $2,736.00	Professional		$2,304.00	$2,390.40	$2,736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,987.20 / $2,390.40 / $2,880.00	Facility		$1,987.20	$2,390.40	$2,880.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $3,000.00	Professional		$396.00	$396.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,400.00	Professional		$2,400.00	$2,400.00	$2,400.00