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 $1,417.98 / $1,575.23 / $2,393.60	Professional		$1,417.98	$1,575.23	$2,393.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,298.08 / $2,242.61 / $2,754.75	Professional		$1,298.08	$2,242.61	$2,754.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $420.61 / $2,268.36	Professional		$32.34	$420.61	$2,268.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,507.90 / $1,919.15 / $2,264.10	Facility		$1,507.90	$1,919.15	$2,264.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,719.34 / $2,242.61 / $2,754.75	Professional		$1,719.34	$2,242.61	$2,754.75
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 $1,869.99 / $2,326.48 / $3,341.70	Professional		$1,869.99	$2,326.48	$3,341.70