Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.49 / $7,838.38 / $7,838.38	Facility		$769.49	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.25 / $769.49 / $1,631.31	Professional		$709.25	$769.49	$1,631.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.89 / $1,053.83 / $1,315.70	Professional		$622.89	$1,053.83	$1,315.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $201.82 / $1,089.69	Professional		$32.34	$201.82	$1,089.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $780.35 / $993.17 / $1,069.60	Facility		$780.35	$993.17	$1,069.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $807.94 / $1,053.83 / $1,315.70	Professional		$807.94	$1,053.83	$1,315.70
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 $886.00 / $1,116.35 / $1,595.79	Professional		$886.00	$1,116.35	$1,595.79