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 / $8,763.29	Facility		$1,000.00	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.68 / $147.74 / $253.08	Professional		$134.68	$147.74	$253.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $232.40 / $293.52	Professional		$143.00	$232.40	$293.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.41 / $217.28	Professional		$32.34	$40.41	$217.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.48 / $228.51 / $231.63	Facility		$164.48	$228.51	$231.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.61 / $205.44 / $293.52	Professional		$170.61	$205.44	$293.52
United Facility/Professional Facility Modifier Low / Median / High Price $9,028.00 / $15,131.00 / $16,269.00	Facility		$9,028.00	$15,131.00	$16,269.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $228.00 / $328.04	Professional		$174.64	$228.00	$328.04