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 $665.81 / $700.47 / $1,268.31	Professional		$665.81	$700.47	$1,268.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.16 / $1,045.13 / $1,323.36	Professional		$638.16	$1,045.13	$1,323.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $208.34 / $1,115.09	Professional		$32.34	$208.34	$1,115.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $703.73 / $895.65 / $1,041.92	Facility		$703.73	$895.65	$1,041.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $801.27 / $1,045.13 / $1,323.36	Professional		$801.27	$1,045.13	$1,323.36
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 $859.51 / $1,055.07 / $1,655.84	Professional		$859.51	$1,055.07	$1,655.84