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 / $8,644.27	Facility		$1,000.00	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.84 / $800.92 / $1,315.97	Professional		$743.84	$800.92	$1,315.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.89 / $1,199.02 / $1,529.45	Professional		$713.89	$1,199.02	$1,529.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $232.94 / $1,247.10	Professional		$32.34	$232.94	$1,247.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $765.12 / $973.80 / $1,153.09	Facility		$765.12	$973.80	$1,153.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $926.61 / $1,208.61 / $1,529.45	Professional		$926.61	$1,208.61	$1,529.45
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 $950.49 / $1,203.39 / $1,870.29	Professional		$950.49	$1,203.39	$1,870.29