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 $1,060.97 / $1,447.56 / $5,287.32	Professional		$1,060.97	$1,447.56	$5,287.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.80 / $1,223.67 / $1,623.39	Professional		$908.80	$1,223.67	$1,623.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,437.53 / $1,557.24	Professional		$32.34	$1,437.53	$1,557.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $892.83 / $1,138.40 / $1,458.40	Facility		$892.83	$1,138.40	$1,458.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $938.14 / $1,461.39 / $1,945.73	Professional		$938.14	$1,461.39	$1,945.73
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $11,259.00 / $16,897.00	Facility		$899.00	$11,259.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $981.69 / $1,423.44 / $1,888.24	Professional		$981.69	$1,423.44	$1,888.24