Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.36 / $7,838.38 / $8,763.29	Facility		$904.36	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.36 / $1,108.36 / $4,778.71	Professional		$904.36	$1,108.36	$4,778.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.44 / $1,219.33 / $1,524.11	Professional		$769.44	$1,219.33	$1,524.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,339.99 / $1,450.26	Professional		$32.34	$1,339.99	$1,450.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $841.09 / $1,155.73 / $1,590.87	Facility		$841.09	$1,155.73	$1,590.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $922.03 / $1,393.52 / $1,822.52	Professional		$922.03	$1,393.52	$1,822.52
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $9,127.00 / $13,891.00	Facility		$790.00	$9,127.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.35 / $1,324.47 / $1,707.54	Professional		$777.35	$1,324.47	$1,707.54