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 $1,050.28 / $1,213.05 / $1,764.70	Professional		$1,050.28	$1,213.05	$1,764.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,343.08 / $1,343.08 / $1,343.08	Facility		$1,343.08	$1,343.08	$1,343.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.74 / $1,712.84 / $2,176.92	Professional		$1,183.74	$1,712.84	$2,176.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,867.57	Professional		$32.34	$32.34	$1,867.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $976.17 / $1,313.18 / $1,769.94	Facility		$976.17	$1,313.18	$1,769.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,279.60 / $1,827.03 / $3,071.10	Professional		$1,279.60	$1,827.03	$3,071.10
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $4,616.00 / $17,636.00	Facility		$755.00	$4,616.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,211.15 / $1,686.84 / $2,509.73	Professional		$1,211.15	$1,686.84	$2,509.73