Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.52 / $463.03 / $761.56	Professional		$418.52	$463.03	$761.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.83 / $687.04 / $844.90	Professional		$402.83	$687.04	$844.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $130.57 / $703.79	Professional		$32.34	$130.57	$703.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.93 / $609.54 / $725.99	Facility		$478.93	$609.54	$725.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.73 / $687.04 / $844.90	Professional		$526.73	$687.04	$844.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.50 / $721.98 / $1,033.32	Professional		$602.50	$721.98	$1,033.32