Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.89 / $5,000.27 / $7,838.38	Facility		$536.89	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.71 / $558.08 / $1,953.00	Professional		$485.71	$558.08	$1,953.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.20 / $873.28 / $1,171.00	Professional		$534.20	$873.28	$1,171.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $832.38	Professional		$32.34	$32.34	$832.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.00 / $836.90 / $1,282.73	Facility		$289.00	$836.90	$1,282.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $580.54 / $902.39 / $1,303.93	Professional		$580.54	$902.39	$1,303.93
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 $568.40 / $843.17 / $1,249.77	Professional		$568.40	$843.17	$1,249.77