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 $1,032.23 / $1,192.78 / $4,221.00	Professional		$1,032.23	$1,192.78	$4,221.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.94 / $1,628.54 / $2,019.55	Professional		$1,076.94	$1,628.54	$2,019.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,730.39	Professional		$32.34	$32.34	$1,730.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,061.58 / $1,432.01 / $1,955.00	Facility		$1,061.58	$1,432.01	$1,955.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,120.99 / $1,737.53 / $2,813.70	Professional		$1,120.99	$1,737.53	$2,813.70
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 $1,213.89 / $1,631.84 / $2,346.29	Professional		$1,213.89	$1,631.84	$2,346.29