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 $677.67 / $736.10 / $1,207.03	Professional		$677.67	$736.10	$1,207.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.34 / $1,096.24 / $1,395.28	Professional		$651.34	$1,096.24	$1,395.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $213.57 / $1,143.86	Professional		$32.34	$213.57	$1,143.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.68 / $1,034.32 / $1,117.90	Facility		$812.68	$1,034.32	$1,117.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $846.19 / $1,103.73 / $1,395.28	Professional		$846.19	$1,103.73	$1,395.28
United Facility/Professional Facility Modifier Low / Median / High Price $9,028.00 / $15,131.00 / $16,269.00	Facility		$9,028.00	$15,131.00	$16,269.00
United Facility/Professional Professional Modifier Low / Median / High Price $886.05 / $1,160.46 / $1,726.11	Professional		$886.05	$1,160.46	$1,726.11