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 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.06 / $981.89 / $1,808.01	Professional		$963.06	$981.89	$1,808.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,061.61 / $1,532.70 / $1,926.38	Professional		$1,061.61	$1,532.70	$1,926.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,576.31	Professional		$32.34	$32.34	$1,576.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $958.06 / $1,219.33 / $1,490.90	Facility		$958.06	$1,219.33	$1,490.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,181.78 / $1,487.42 / $1,926.38	Professional		$1,181.78	$1,487.42	$1,926.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,153.69 / $1,529.32 / $2,349.81	Professional		$1,153.69	$1,529.32	$2,349.81