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 $1,176.64 / $1,227.27 / $2,048.44	Professional		$1,176.64	$1,227.27	$2,048.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.80 / $1,794.34 / $2,278.98	Professional		$1,092.80	$1,794.34	$2,278.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $360.07 / $1,941.26	Professional		$32.34	$360.07	$1,941.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,115.92 / $1,420.26 / $1,690.69	Facility		$1,115.92	$1,420.26	$1,690.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,375.66 / $1,794.34 / $2,278.98	Professional		$1,375.66	$1,794.34	$2,278.98
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 $1,451.36 / $1,810.89 / $2,852.69	Professional		$1,451.36	$1,810.89	$2,852.69