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 $948.28 / $998.64 / $1,802.96	Professional		$948.28	$998.64	$1,802.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.28 / $1,624.91 / $1,992.93	Professional		$1,036.28	$1,624.91	$1,992.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $288.58 / $1,554.55	Professional		$32.34	$288.58	$1,554.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,121.02 / $1,426.75 / $1,628.77	Facility		$1,121.02	$1,426.75	$1,628.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,215.48 / $1,466.87 / $1,992.93	Professional		$1,215.48	$1,466.87	$1,992.93
United Facility/Professional Facility Modifier Low / Median / High Price $9,028.00 / $15,131.00 / $21,396.00	Facility		$9,028.00	$15,131.00	$21,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.32 / $1,581.25 / $2,325.50	Professional		$1,219.32	$1,581.25	$2,325.50