Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,660.50 / $7,838.38	Facility		$1,000.00	$2,660.50	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,384.96 / $2,660.50 / $10,759.00	Professional		$2,384.96	$2,660.50	$10,759.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,610.84 / $3,884.37 / $4,918.53	Professional		$2,610.84	$3,884.37	$4,918.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,127.10	Professional		$32.34	$32.34	$4,127.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,046.46 / $3,065.72 / $4,046.80	Facility		$2,046.46	$3,065.72	$4,046.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,645.69 / $4,046.80 / $6,476.49	Professional		$2,645.69	$4,046.80	$6,476.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $15,131.00 / $21,396.00	Facility		$1,035.00	$15,131.00	$21,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,957.00 / $3,833.27 / $5,385.08	Professional		$2,957.00	$3,833.27	$5,385.08