Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $8,644.27	Facility		$1,000.00	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.57 / $1,116.11 / $3,971.00	Professional		$1,006.57	$1,116.11	$3,971.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.58 / $1,619.38 / $2,040.83	Professional		$1,079.58	$1,619.38	$2,040.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,730.03	Professional		$32.34	$32.34	$1,730.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,061.36 / $1,329.70 / $1,955.00	Facility		$1,061.36	$1,329.70	$1,955.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,107.95 / $1,673.36 / $2,713.27	Professional		$1,107.95	$1,673.36	$2,713.27
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 $1,213.49 / $1,631.09 / $2,240.02	Professional		$1,213.49	$1,631.09	$2,240.02