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 $857.97 / $1,001.31 / $1,568.65	Professional		$857.97	$1,001.31	$1,568.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.20 / $1,505.35 / $1,866.37	Professional		$827.20	$1,505.35	$1,866.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $268.07 / $1,446.10	Professional		$32.34	$268.07	$1,446.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $976.81 / $1,243.21 / $1,505.43	Facility		$976.81	$1,243.21	$1,505.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,107.28 / $1,505.35 / $1,866.37	Professional		$1,107.28	$1,505.35	$1,866.37
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 $1,200.56 / $1,534.52 / $2,174.03	Professional		$1,200.56	$1,534.52	$2,174.03