Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.69 / $7,838.38 / $8,644.27	Facility		$862.69	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.91 / $886.51 / $1,406.58	Professional		$777.91	$886.51	$1,406.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.08 / $1,242.13 / $1,559.70	Professional		$828.08	$1,242.13	$1,559.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,332.98	Professional		$32.34	$32.34	$1,332.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $817.78 / $1,102.08 / $1,530.00	Facility		$817.78	$1,102.08	$1,530.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $846.29 / $1,283.53 / $2,094.92	Professional		$846.29	$1,283.53	$2,094.92
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 $923.56 / $1,241.49 / $1,975.80	Professional		$923.56	$1,241.49	$1,975.80