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 $1,066.04 / $1,210.88 / $1,803.59	Professional		$1,066.04	$1,210.88	$1,803.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.17 / $1,775.89 / $2,292.84	Professional		$977.17	$1,775.89	$2,292.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $316.62 / $1,709.22	Professional		$32.34	$316.62	$1,709.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,140.06 / $1,450.99 / $1,675.92	Facility		$1,140.06	$1,450.99	$1,675.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,309.51 / $1,775.89 / $2,292.84	Professional		$1,309.51	$1,775.89	$2,292.84
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 $1,371.60 / $1,742.59 / $2,578.21	Professional		$1,371.60	$1,742.59	$2,578.21