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 $1,404.88 / $1,487.69 / $5,278.00	Professional		$1,404.88	$1,487.69	$5,278.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.16 / $2,130.71 / $2,739.08	Professional		$1,346.16	$2,130.71	$2,739.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $442.37 / $2,377.16	Professional		$32.34	$442.37	$2,377.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,413.21 / $1,798.62 / $2,090.81	Facility		$1,413.21	$1,798.62	$2,090.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,633.54 / $2,130.71 / $2,739.08	Professional		$1,633.54	$2,130.71	$2,739.08
United Facility/Professional Facility Modifier Low / Median / High Price $5,706.17 / $21,608.00 / $23,186.00	Facility		$5,706.17	$21,608.00	$23,186.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,710.75 / $2,356.19 / $3,400.16	Professional		$1,710.75	$2,356.19	$3,400.16