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 / $8,763.29	Facility		$1,000.00	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.55 / $879.64 / $1,378.29	Professional		$816.55	$879.64	$1,378.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.22 / $1,253.70 / $1,559.88	Professional		$747.22	$1,253.70	$1,559.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $242.09 / $1,306.17	Professional		$32.34	$242.09	$1,306.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $856.08 / $1,089.55 / $1,265.60	Facility		$856.08	$1,089.55	$1,265.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $961.17 / $1,253.70 / $1,559.88	Professional		$961.17	$1,253.70	$1,559.88
United Facility/Professional Facility Modifier Low / Median / High Price $6,602.00 / $9,127.00 / $10,150.00	Facility		$6,602.00	$9,127.00	$10,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,037.25 / $1,287.36 / $1,918.91	Professional		$1,037.25	$1,287.36	$1,918.91