Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $8,709.64	Facility		$1,348.96	$1,548.82	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,698.24	Professional		$812.83	$933.25	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $4,570.88	Professional		$3,630.78	$3,801.89	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,862.09	Facility		$891.25	$1,202.26	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $3,311.31	Professional		$1,584.89	$2,137.96	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $11,220.18 / $31,622.78	Facility		$891.25	$11,220.18	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,778.28	Professional		$954.99	$1,288.25	$1,778.28