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 $925.70 / $947.01 / $1,602.44	Professional		$925.70	$947.01	$1,602.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $857.18 / $1,362.76 / $1,745.79	Professional		$857.18	$1,362.76	$1,745.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $280.80 / $1,518.59	Professional		$32.34	$280.80	$1,518.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $805.62 / $1,044.78 / $1,268.88	Facility		$805.62	$1,044.78	$1,268.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,044.78 / $1,362.76 / $1,745.79	Professional		$1,044.78	$1,362.76	$1,745.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,503.00 / $15,732.00	Facility		$3,085.00	$3,503.00	$15,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.50 / $1,379.00 / $2,230.96	Professional		$1,050.50	$1,379.00	$2,230.96