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 $1,102.00 / $1,256.44 / $2,036.79	Professional		$1,102.00	$1,256.44	$2,036.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.36 / $1,740.56 / $2,218.03	Professional		$1,160.36	$1,740.56	$2,218.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,930.21	Professional		$32.34	$32.34	$1,930.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,160.07 / $1,468.96 / $4,389.00	Facility		$1,160.07	$1,468.96	$4,389.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,206.99 / $1,812.60 / $3,040.29	Professional		$1,206.99	$1,812.60	$3,040.29
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 $1,266.83 / $1,794.37 / $2,892.98	Professional		$1,266.83	$1,794.37	$2,892.98