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 $1,421.81 / $1,753.69 / $2,756.80	Professional		$1,421.81	$1,753.69	$2,756.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,440.02 / $2,404.19 / $3,057.00	Professional		$1,440.02	$2,404.19	$3,057.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,612.55	Professional		$32.34	$32.34	$2,612.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,525.56 / $2,104.90 / $3,729.60	Facility		$1,525.56	$2,104.90	$3,729.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,602.79 / $2,484.33 / $4,173.24	Professional		$1,602.79	$2,484.33	$4,173.24
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $11,259.00 / $16,897.00	Facility		$899.00	$11,259.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,779.13 / $2,491.65 / $3,886.20	Professional		$1,779.13	$2,491.65	$3,886.20